scholarly journals Accuracy of pecarn decision rule in minor blunt head trauma in pediatric emergency department: A meta‐analysis

2021 ◽  
Author(s):  
Ke Yang ◽  
Meng Zhao ◽  
Jing Sun ◽  
Xiuli Nie
Keyword(s):  
Emergency Department ◽  
Decision Rule ◽  
Head Trauma ◽  
Meta Analysis ◽  
Pediatric Emergency ◽  
Pediatric Emergency Department ◽  
Blunt Head Trauma

scholarly journals Evaluation of Clinical and Radiological Indicators of Childhood Head Trauma

2021 ◽  
Author(s):  
Münevver Yılmaz ◽  
Ayşe Berna Anıl ◽  
Murat Anıl ◽  
Mehmet Helvacı
Keyword(s):  
Traumatic Brain Injury ◽  
Emergency Department ◽  
Brain Injury ◽  
Head Trauma ◽  
Pediatric Emergency ◽  
Pediatric Emergency Department ◽  
Neurological Sequelae ◽  
Neurological Findings ◽  
Blunt Head Trauma

Objective: The aim of this study is to determine the clinical signs of traumatic brain injury and its long-term effects on prognosis by evaluating the clinical and radiological findings of the patients admitted to the pediatric emergency department due to blunt head trauma. Method: The cases who applied to the pediatric emergency department due to head trauma were examined prospectively. Glaskow Coma (GCS) and Pediatric Trauma Scores (PTS) were calculated. The patients were evaluated neurologically 6 months after they were discharged. Results: A total of 707 pediatric patients [mean age: 59.8 ± 42.6 months; range: 1 month to 13 years; 263 (37.2%) girls] were evaluated prospectively. Pathology was detected in 101 cases (45.9%) [(epidural hematoma, 14; subdural hematoma, 11; brain edema, 36; intracerebral hematoma, 6; subarachnoid hemorrhage, 8; cerebral contusion, 22. Seventy-two (10.1%) patients had skull fractures.] Seventeen cases (2.4%) were operated, and 7 (1.4%) cases were lost. In children aged < 2 years vomiting, tachypnea, focal neurological findings, multitrauma, GCS <15 and low PTS were more common with traumatic brain injury (p <0.05). Vomiting, GCS <15 and low PTS were more common in children >2 years old and with traumatic brain injury (p <0.05). Neurological sequelae were not detected in patients aged <2 years with mild trauma. Loss of consciousness, pulse rate, respiratory and blood pressure abnormalities, focal neurological findings, low GCS and PTS were more common in children aged >2 years and with neurological sequelae (p <0.05). Conclusion: Physical examination findings, GCS, and PTS levels are useful tools in predicting the short- and long-term consequences of the injury.

scholarly journals ACCURACY OF PECARN DECISION RULE IN MINOR BLUNT HEAD TRAUMA IN PEDIATRIC EMERGENCY DEPARTMENT: A META-ANALYSIS

2021 ◽  
Author(s):  
Ke Yang ◽  
Meng Zhao ◽  
Jing Sun ◽  
Xiuli Nie
Keyword(s):  
Head Trauma ◽  
Odds Ratio ◽  
Meta Analysis ◽  
Decision Support Tool ◽  
Clinical Decision ◽  
Diagnostic Odds Ratio ◽  
Pediatric Emergency ◽  
Research Network ◽  
Support Tool ◽  
Blunt Head Trauma

Background: Pediatric Emergency Care Applied Research Network (PECARN) is a useful Clinical Decision Support Tool (CDST) to identify traumatic brain injuries and reduce the use of head CT scans among pediatric patients. The present Meta-analysis aims to evaluate the diagnostic accuracy of the PECARN rule from 2009 to 2020 in children with a very low risk of blunt head trauma. Methods: A detailed search was conducted from the databases of Medline (via PubMed), Cinahl (via Ebsco), Scopus, Web of Sciences, from 2009 till the end of December 2020 using the keywords like decrease use of CT scan, blunt head trauma (BHT) combined with accuracy, Pediatric Emergency Care Applied Research Network (PECARN) OR Clinical Decision Support Tool (CDST). Studies showing the diagnostic accuracy of the PECARN rule in children younger than 18 years of age with minor BHT were included. Results: 13 studies were included in the present analysis. Pooled sensitivity of 0.08, (95% confidence interval of 0.074 - 0.087), pooled specificity of 0.20 ( 95% CI of 0.196 - 0.213) and diagnostic odds ratio of 0.004 (95% CI of 0.000-0.1666) was in <2 years of age. The overall sensitivity of 0.07, specificity of 0.66, and diagnostic odds ratio of 0.54 (95% CI of 0.10 -2.78) was seen in ≥2 years of age. Overall sensitivity of 0.13 (95% CI 0.12-0.14), specificity of 0.81 (95% CI 0.80-0.82) and diagnostic odds ratio of 0.79 (95% CI of 0.08 -7.71) was in 0-18 years of age. Conclusion: The present analysis indicates the PECARN decision tool as an accurate CDST in low-risk minor blunt head trauma cases in children below two years of age and can become a useful tool in reducing Head CT’s scan overuse in pediatric emergency departments.

Implementation of Adapted PECARN Decision Rule for Children With Minor Head Injury in the Pediatric Emergency Department

2012 ◽  
Vol 19 (7) ◽  
pp. 801-807 ◽  
Author(s):  
Silvia Bressan ◽  
Sabrina Romanato ◽  
Teresa Mion ◽  
Stefania Zanconato ◽  
Liviana Da Dalt
Keyword(s):  
Emergency Department ◽  
Head Injury ◽  
Decision Rule ◽  
Pediatric Emergency ◽  
Minor Head Injury ◽  
Pediatric Emergency Department

Assessing Somatization and Psychosocial Impairment in the Pediatric Emergency Department

2010 ◽  
Author(s):  
Zorash Montano ◽  
Neda Safvati ◽  
Angela Li ◽  
Ilene Claudius ◽  
Jeffrey I. Gold
Keyword(s):  
Emergency Department ◽  
Pediatric Emergency ◽  
Pediatric Emergency Department ◽  
Psychosocial Impairment
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