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dc.contributor.authorHearps, S.en
dc.contributor.authorDalton, S.en
dc.contributor.authorLyttle, M. D.en
dc.contributor.authorCheek, J. A.en
dc.contributor.authorBabl, F. E.en
dc.contributor.authorDalziel, S.en
dc.contributor.authorNeutze, J.en
dc.contributor.authorFuryk, J.en
dc.contributor.authorBressan, S.en
dc.contributor.authorKochar, A.en
dc.contributor.authorOakley, E.en
dc.contributor.authorBorland, M.en
dc.contributor.authorPhillips, N.en
dc.date.accessioned2022-11-07T23:57:00Z-
dc.date.available2022-11-07T23:57:00Z-
dc.date.issued2019en
dc.identifier.citation104, (7), 2019, p. 664-669en
dc.identifier.otherRISen
dc.identifier.urihttp://dora.health.qld.gov.au/qldresearchjspui/handle/1/4856-
dc.description.abstractObjective Despite high-quality paediatric head trauma clinical prediction rules, the management of otherwise asymptomatic young children with scalp haematomas (SH) can be difficult. We determined the risk of intracranial injury when SH is the only predictor variable using definitions from the Pediatric Emergency Care Applied Research Network (PECARN) and Children's Head Injury Algorithm for the Prediction of Important Clinical Events (CHALICE) head trauma rules. Design Planned secondary analysis of a multicentre prospective observational study. Setting Ten emergency departments in Australia and New Zealand. Patients Children <2 years with head trauma (n=5237). Interventions We used the PECARN (any non-frontal haematoma) and CHALICE (>5 cm haematoma in any region of the head) rule-based definition of isolated SH in both children <1 year and <2 years. Main outcome measures Clinically important traumatic brain injury (ciTBI; ie, death, neurosurgery, intubation >24 hours or positive CT scan in association with hospitalisation ≥2 nights for traumatic brain injury). Results In children <1 year with isolated SH as per PECARN rule, the risk of ciTBI was 0.0% (0/109; 95% CI 0.0% to 3.3%); in those with isolated SH as defined by the CHALICE, it was 20.0% (7/35; 95% CI 8.4% to 36.9%) with one patient requiring neurosurgery. Results for children <2 years and when using rule specific outcomes were similar. Conclusions In young children with SH as an isolated finding after head trauma, use of the definitions of both rules will aid clinicians in determining the level of risk of ciTBI and therefore in deciding whether to do a CT scan. Trial registration number ACTRN12614000463673.L6266613902019-03-12 <br />2019-07-02 <br />en
dc.language.isoenen
dc.relation.ispartofArchives of Disease in Childhooden
dc.titleTraumatic brain injury in young children with isolated scalp haematomaen
dc.typeArticleen
dc.identifier.doi10.1136/archdischild-2018-316066en
dc.subject.keywordschilden
dc.subject.keywordschildhood injuryen
dc.subject.keywordsdisease associationen
dc.subject.keywordsemergency warden
dc.subject.keywordsendotracheal intubationen
dc.subject.keywordsfemaleen
dc.subject.keywordshematomaen
dc.subject.keywordshigh risk populationen
dc.subject.keywordshospitalizationen
dc.subject.keywordshumanen
dc.subject.keywordsinfanten
dc.subject.keywordsmajor clinical studyen
dc.subject.keywordsmaleen
dc.subject.keywordsmulticenter studyen
dc.subject.keywordsneurosurgeryen
dc.subject.keywordsarticleen
dc.subject.keywordsobservational studyen
dc.subject.keywordsoutcome assessmenten
dc.subject.keywordspriority journalen
dc.subject.keywordsrisk assessmenten
dc.subject.keywordsrisk factoren
dc.subject.keywordsscalp hematomaen
dc.subject.keywordssecondary analysisen
dc.subject.keywordsskin diseaseen
dc.subject.keywordstraumatic brain injuryen
dc.subject.keywordsx-ray computed tomographyen
dc.subject.keywordsadulten
dc.subject.keywordsACTRN12614000463673adolescenten
dc.subject.keywordsnewbornen
dc.subject.keywordsbrain hemorrhageen
dc.subject.keywordscause of deathen
dc.relation.urlhttps://www.embase.com/search/results?subaction=viewrecord&id=L626661390&from=exporthttp://dx.doi.org/10.1136/archdischild-2018-316066 |en
dc.identifier.risid2742en
dc.description.pages664-669en
item.grantfulltextnone-
item.openairetypeArticle-
item.fulltextNo Fulltext-
item.languageiso639-1en-
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
item.cerifentitytypePublications-
Appears in Sites:Children's Health Queensland Publications
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