Citation

Bressan S, Heidt R, Wang C, Tancredi D, Kuppermann N. Pediatrics 2022; ePub(ePub): ePub.

Copyright

(Copyright © 2022, American Academy of Pediatrics)

DOI

10.1542/peds.2022-057138

PMID

36102119

Abstract

In 2009, the Pediatric Emergency Care Applied Research Network (PECARN) derived 2 age-specific prediction rules to identify children with minor blunt head trauma, at low risk of clinically important traumatic brain injuries (ciTBIs) for whom computed tomography (CT) could safely be avoided on the basis of the absence of predictor variables.1 In the presence of PECARN predictors, the risk of ciTBI differs according to the type and number of predictors.2,-8 Of the 6 PECARN predictors, altered mental status (AMS) was found to be associated with a higher risk of ciTBI, justifying performing CT scans on patients with AMS.9 To our knowledge, however, the risk of ciTBI in children with isolated AMS (ie, no other PECARN ciTBI predictors present) has not been investigated. We aimed to assess the risk of ciTBI and TBI on CT in children with isolated AMS.

This was a secondary analysis...

Topics:
head injuries, closed, mental state abnormal, pediatric emergency care applied research network, glasgow coma scale

Language: en