EBQ:PECARN Pediatric Head CT Rule: Difference between revisions
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{{JC info | {{JC info | ||
| title= | | title=Identification of children at very low risk of clinically-important brain injuries after head trauma: a prospective cohort study. | ||
| abbreviation= | | abbreviation= PECARN Pediatric Head Trauma | ||
| expansion= | | expansion=Pediatric Emergency Care Applied Research Network Head Trauma Traial | ||
| published= | | published=2009 | ||
| author= | | author=Kuppermann N. et al | ||
| journal=The | | journal=The Lancet | ||
| year= | | year=2009 | ||
| volume= | | volume=374 | ||
| issue= | | issue=9696 | ||
| pages= | | pages=1160-1170 | ||
| pmid= | | pmid= 19758692 | ||
| fulltexturl= | | fulltexturl=http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(09)61558-0/fulltext | ||
| pdfurl= | | pdfurl= | ||
}} | }} | ||
The Lancet, Volume 374, Issue 9696, Pages 1160 - 1170, 3 October 2009 <Previous Article|Next Article> | |||
==Clinical Question== | ==Clinical Question== | ||
| Line 53: | Line 56: | ||
==Funding== | ==Funding== | ||
==CME== | |||
{Journal club article: Regarding pediatric head trauma patients, which of the following were predictors of “very low risk for clinically significant injury in children less than 2 years of age”? | |||
|type="[]"} | |||
+normal mental status | |||
+no scalp hematoma except frontal | |||
+no loss of consciousness or loss of consciousness < 5 seconds | |||
+non-severe injury mechanism | |||
+no palpable skull fracture | |||
||All of the above. The child should have been acting normally according to the parents. If all were present, the negative predictive value was 100% (95%CI 99.7-100%). The prediction rule for children aged 2 years and older included normal mental status, no loss of consciousness, no vomiting, non-severe injury mechanism, no signs of basilar skull fracture, and no severe headache. This rule for those greater than 2 eyars of age had a negative predictive value of 99.95% (95% CI 99.81-99.99%). Neither rule missed neurosurgery in the validation populations. | |||
==Sources== | ==Sources== | ||
<references/> | <references/> | ||
[[Category:EBQ]][[Category:Peds]] | [[Category:EBQ]][[Category:Peds]] | ||
Revision as of 22:52, 12 November 2013
PubMed Full text
The Lancet, Volume 374, Issue 9696, Pages 1160 - 1170, 3 October 2009 <Previous Article|Next Article>
Clinical Question
Conclusion
Major Points
Inclusion Criteria
Exclusion Criteria
Interventions
Outcome
Primary Outcomes
Secondary Outcomes
Subgroup analysis
Criticisms
Funding
CME
{Journal club article: Regarding pediatric head trauma patients, which of the following were predictors of “very low risk for clinically significant injury in children less than 2 years of age”? |type="[]"} +normal mental status +no scalp hematoma except frontal +no loss of consciousness or loss of consciousness < 5 seconds +non-severe injury mechanism +no palpable skull fracture ||All of the above. The child should have been acting normally according to the parents. If all were present, the negative predictive value was 100% (95%CI 99.7-100%). The prediction rule for children aged 2 years and older included normal mental status, no loss of consciousness, no vomiting, non-severe injury mechanism, no signs of basilar skull fracture, and no severe headache. This rule for those greater than 2 eyars of age had a negative predictive value of 99.95% (95% CI 99.81-99.99%). Neither rule missed neurosurgery in the validation populations.