Application of PECARN rules would significantly decrease CT rates in a Dutch cohort of children with minor traumatic head injuries

The aim of this study was to determine the potential impact of the Pediatric Emergency Care Applied Research Network (PECARN) rules on the CT rate in a large paediatric minor traumatic head injury (MTHI) cohort and compare this with current national Dutch guidelines. This was a planned sub-study of...

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Autores principales: Niele, Nicky, van Houten, Marlies, Tromp, Ellen, van Goudoever, J.B., Plötz, Frans B.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2020
Materias:
Original Article
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7479012/
https://www.ncbi.nlm.nih.gov/pubmed/32342189
http://dx.doi.org/10.1007/s00431-020-03649-w
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author Niele, Nicky
van Houten, Marlies
Tromp, Ellen
van Goudoever, J.B.
Plötz, Frans B.
author_facet Niele, Nicky
van Houten, Marlies
Tromp, Ellen
van Goudoever, J.B.
Plötz, Frans B.
author_sort Niele, Nicky
collection PubMed
description The aim of this study was to determine the potential impact of the Pediatric Emergency Care Applied Research Network (PECARN) rules on the CT rate in a large paediatric minor traumatic head injury (MTHI) cohort and compare this with current national Dutch guidelines. This was a planned sub-study of a prospective multicentre observational study that enrolled 1006 children younger than 18 years with MTHI. We calculated the number of recommended CT scans and described trauma-related CT scan abnormalities. The PECARN rules recommended a significantly lower percentage of CT scans in all age categories, namely 101/357 (28.3%) versus 164/357 (45.9%) (p < 0.001) in patients under 2 years of age and 148/623 (23.8%) versus 394/623 (63.2%) (p < 0,001) versus in patients 2 years and older. Conclusion: The projected CT rate can significantly be reduced if the PECARN rules are applied. We therefore advocate that the PECARN guidelines are also implemented in The Netherlands. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1007/s00431-020-03649-w) contains supplementary material, which is available to authorized users.
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spelling pubmed-74790122020-09-21 Application of PECARN rules would significantly decrease CT rates in a Dutch cohort of children with minor traumatic head injuries Niele, Nicky van Houten, Marlies Tromp, Ellen van Goudoever, J.B. Plötz, Frans B. Eur J Pediatr Original Article The aim of this study was to determine the potential impact of the Pediatric Emergency Care Applied Research Network (PECARN) rules on the CT rate in a large paediatric minor traumatic head injury (MTHI) cohort and compare this with current national Dutch guidelines. This was a planned sub-study of a prospective multicentre observational study that enrolled 1006 children younger than 18 years with MTHI. We calculated the number of recommended CT scans and described trauma-related CT scan abnormalities. The PECARN rules recommended a significantly lower percentage of CT scans in all age categories, namely 101/357 (28.3%) versus 164/357 (45.9%) (p < 0.001) in patients under 2 years of age and 148/623 (23.8%) versus 394/623 (63.2%) (p < 0,001) versus in patients 2 years and older. Conclusion: The projected CT rate can significantly be reduced if the PECARN rules are applied. We therefore advocate that the PECARN guidelines are also implemented in The Netherlands. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1007/s00431-020-03649-w) contains supplementary material, which is available to authorized users. Springer Berlin Heidelberg 2020-04-28 2020 /pmc/articles/PMC7479012/ /pubmed/32342189 http://dx.doi.org/10.1007/s00431-020-03649-w Text en © The Author(s) 2020 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.
spellingShingle Original Article
Niele, Nicky
van Houten, Marlies
Tromp, Ellen
van Goudoever, J.B.
Plötz, Frans B.
Application of PECARN rules would significantly decrease CT rates in a Dutch cohort of children with minor traumatic head injuries
title Application of PECARN rules would significantly decrease CT rates in a Dutch cohort of children with minor traumatic head injuries
title_full Application of PECARN rules would significantly decrease CT rates in a Dutch cohort of children with minor traumatic head injuries
title_fullStr Application of PECARN rules would significantly decrease CT rates in a Dutch cohort of children with minor traumatic head injuries
title_full_unstemmed Application of PECARN rules would significantly decrease CT rates in a Dutch cohort of children with minor traumatic head injuries
title_short Application of PECARN rules would significantly decrease CT rates in a Dutch cohort of children with minor traumatic head injuries
title_sort application of pecarn rules would significantly decrease ct rates in a dutch cohort of children with minor traumatic head injuries
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7479012/
https://www.ncbi.nlm.nih.gov/pubmed/32342189
http://dx.doi.org/10.1007/s00431-020-03649-w
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