Gomez P, Lobato R, Ortega J, De La Cruz J. Management of head-injured patients in the emergency department: a practical protocol. Indications for brain computed tomography and hospital admission pediatric patients with minor head injury: how much can we rely upon clinical findings? Pediatr Neurosurg. Guzel A, Hicdonmez T, Temizoz O, Aksu B, Aylanc H, Karasalihoglu S. A decision rule for identifying children at low risk for brain injuries after blunt head trauma. Child's Nervous System: Chns: Official Journal Of The International Society For Pediatric Neurosurgery. An Italian experience and review of literature. Brain CT scan for pediatric minor accidental head injury. 2002 38(4):388-92.įundaro C, Caldarelli M, Monaco S, Cota F, Giorgio V, Onesimo R, et al. Clinical predictors of abnormal computed tomography scans in paediatric head injury. The incidence of acute brain injury and serious impairment in a defined population. CATCH: A clinical decision rule for the use of computed tomography in children with minor head injury. Osmond MH, Klassen TP, Wells GA, Correll R, Jarvis A, Joubert G, et al. A clinical decision rule for cranial computed tomography in minor pediatric head trauma. 2007 42:603-7.Ītabaki SM, Stiell IG, Bazarian JJ, Sadow KE, Vu TT, Camarca MA, et al. Review of radiation risks from computed tomography: Essentials for the pediatric surgeon. Rice HE, Frush DP, Farmer D, Waldhausen JH.
Loss of consciousness: When to perform computed tomography? Pediatr Crit Care Med. The changing “epidemiology” of pediatric head injury and its impact on the daily clinical practice. Rio de Janeiro: Guanabara Koogan 2008:182-214. Neurorradiologia-diagnostico por imagem das alteracoes encefalicas.
Studies with larger sample size would be warranted. Among the mild head injury cases only 1 (3.8%) had positive CT scan findings whereas 16 (80%) with moderate head injury and almost all (100%) subjects with severe head injury had positive CT scan findings.Ĭonclusions:Careful clinical selection based on GCS score before ordering CT scan can help reduce radiation exposure among pediatric patients and pressure on limited resources. Results:Contusion was the most frequent finding in cases with positive CT scan findings and majority (94%) of patients could be managed conservatively. Correlation of CT scan findings with GCS scores and clinical profile done. Methods: An observational study of 50 pediatric cases of head injury that underwent CT scan as part of routine diagnostic work up. Clinical selection of cases prior to ordering CT scan would be desirable to avoid unnecessary radiation exposure and risk of malignancy. Background:Head injury in pediatric age is a major cause of mortality and disability.
0 kommentar(er)
