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Validation of Pediatric Emergency Care Applied Research Network (PECARN) rule in children with minor head trauma
- Source :
- PLoS ONE, Vol 17, Iss 1, p e0262102 (2022), PLoS ONE
- Publication Year :
- 2022
- Publisher :
- Public Library of Science (PLoS), 2022.
-
Abstract
- The Pediatric Emergency Care Applied Research Network (PECARN) rule is commonly used for predicting the need for computed tomography (CT) scans in children with mild head trauma. The objective of this study was to validate the PECARN rule in Korean children presenting to the pediatric emergency department (PED) with head trauma. This study was a multicenter, retrospective, observational cohort study in two teaching PEDs in Korea between August 2015 and August 2016. In this observational study, 448 patients who visited PEDs were included in the final analysis. Risk stratification was performed with clinical decision support software based on the PECARN rule, and decisions to perform CT scans were subsequently made. Patients were followed-up by phone call between 7 days and 90 days after discharge from the PED. The sensitivity and specificity were analyzed. The sensitivity was 100% for all age groups, and no cases of clinically important traumatic brain injury (ciTBI) were identified in the very-low-risk group. CT scans were performed for 14.7% of patients in this study and for 33.8% in the original PECARN study. The PECARN rule successfully identified low-risk patients, and no cases of ciTBI were missed despite the reduced proportion of patients undergoing CT scans.
- Subjects :
- Emergency Medical Services
Critical Care and Emergency Medicine
Traumatic Brain Injury
Imaging Techniques
Epidemiology
Science
Neuroimaging
Research and Analysis Methods
Pediatrics
Sensitivity and Specificity
Diagnostic Radiology
Cohort Studies
Diagnostic Medicine
Clinical Decision Rules
Republic of Korea
Medicine and Health Sciences
Craniocerebral Trauma
Humans
Public and Occupational Health
Child
Tomography
Musculoskeletal System
Emergency Treatment
Trauma Medicine
Skeleton
Retrospective Studies
Multidisciplinary
Radiology and Imaging
Traumatic Injury Risk Factors
Skull
Biology and Life Sciences
Decision Support Systems, Clinical
Computed Axial Tomography
Head Injury
Age Groups
Medical Risk Factors
People and Places
Medicine
Population Groupings
Anatomy
Tomography, X-Ray Computed
Traumatic Injury
Neurotrauma
Research Article
Neuroscience
Subjects
Details
- Language :
- English
- ISSN :
- 19326203
- Volume :
- 17
- Issue :
- 1
- Database :
- OpenAIRE
- Journal :
- PLoS ONE
- Accession number :
- edsair.doi.dedup.....3a1d5b33980c0a9f6af4ec855ae9ff4d