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Application of PECARN rules would significantly decrease CT rates in a Dutch cohort of children with minor traumatic head injuries.


ABSTRACT: The aim of this study was to determine the potential impact of the Pediatric Emergency Care Applied Research Network (PECARN) rules on the CT rate in a large paediatric minor traumatic head injury (MTHI) cohort and compare this with current national Dutch guidelines. This was a planned sub-study of a prospective multicentre observational study that enrolled 1006 children younger than 18 years with MTHI. We calculated the number of recommended CT scans and described trauma-related CT scan abnormalities. The PECARN rules recommended a significantly lower percentage of CT scans in all age categories, namely 101/357 (28.3%) versus 164/357 (45.9%) (p?

SUBMITTER: Niele N 

PROVIDER: S-EPMC7479012 | biostudies-literature | 2020 Oct

REPOSITORIES: biostudies-literature

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Application of PECARN rules would significantly decrease CT rates in a Dutch cohort of children with minor traumatic head injuries.

Niele Nicky N   van Houten Marlies M   Tromp Ellen E   van Goudoever J B JB   Plötz Frans B FB  

European journal of pediatrics 20200428 10


The aim of this study was to determine the potential impact of the Pediatric Emergency Care Applied Research Network (PECARN) rules on the CT rate in a large paediatric minor traumatic head injury (MTHI) cohort and compare this with current national Dutch guidelines. This was a planned sub-study of a prospective multicentre observational study that enrolled 1006 children younger than 18 years with MTHI. We calculated the number of recommended CT scans and described trauma-related CT scan abnorma  ...[more]

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