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Validation of Pediatric Emergency Care Applied Research Network (PECARN) rule in children with minor head trauma
The Pediatric Emergency Care Applied Research Network (PECARN) rule is commonly used for predicting the need for computed tomography (CT) scans in children with mild head trauma. The objective of this study was to validate the PECARN rule in Korean children presenting to the pediatric emergency depa...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8765658/ https://www.ncbi.nlm.nih.gov/pubmed/35041677 http://dx.doi.org/10.1371/journal.pone.0262102 |
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author | Cho, Sooje Hwang, Soyun Jung, Jae Yun Kwak, Young Ho Kim, Do Kyun Lee, Jin Hee Jung, Jin Hee Park, Joong Wan Kwon, Hyuksool Suh, Dongbum |
author_facet | Cho, Sooje Hwang, Soyun Jung, Jae Yun Kwak, Young Ho Kim, Do Kyun Lee, Jin Hee Jung, Jin Hee Park, Joong Wan Kwon, Hyuksool Suh, Dongbum |
author_sort | Cho, Sooje |
collection | PubMed |
description | The Pediatric Emergency Care Applied Research Network (PECARN) rule is commonly used for predicting the need for computed tomography (CT) scans in children with mild head trauma. The objective of this study was to validate the PECARN rule in Korean children presenting to the pediatric emergency department (PED) with head trauma. This study was a multicenter, retrospective, observational cohort study in two teaching PEDs in Korea between August 2015 and August 2016. In this observational study, 448 patients who visited PEDs were included in the final analysis. Risk stratification was performed with clinical decision support software based on the PECARN rule, and decisions to perform CT scans were subsequently made. Patients were followed-up by phone call between 7 days and 90 days after discharge from the PED. The sensitivity and specificity were analyzed. The sensitivity was 100% for all age groups, and no cases of clinically important traumatic brain injury (ciTBI) were identified in the very-low-risk group. CT scans were performed for 14.7% of patients in this study and for 33.8% in the original PECARN study. The PECARN rule successfully identified low-risk patients, and no cases of ciTBI were missed despite the reduced proportion of patients undergoing CT scans. |
format | Online Article Text |
id | pubmed-8765658 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-87656582022-01-19 Validation of Pediatric Emergency Care Applied Research Network (PECARN) rule in children with minor head trauma Cho, Sooje Hwang, Soyun Jung, Jae Yun Kwak, Young Ho Kim, Do Kyun Lee, Jin Hee Jung, Jin Hee Park, Joong Wan Kwon, Hyuksool Suh, Dongbum PLoS One Research Article The Pediatric Emergency Care Applied Research Network (PECARN) rule is commonly used for predicting the need for computed tomography (CT) scans in children with mild head trauma. The objective of this study was to validate the PECARN rule in Korean children presenting to the pediatric emergency department (PED) with head trauma. This study was a multicenter, retrospective, observational cohort study in two teaching PEDs in Korea between August 2015 and August 2016. In this observational study, 448 patients who visited PEDs were included in the final analysis. Risk stratification was performed with clinical decision support software based on the PECARN rule, and decisions to perform CT scans were subsequently made. Patients were followed-up by phone call between 7 days and 90 days after discharge from the PED. The sensitivity and specificity were analyzed. The sensitivity was 100% for all age groups, and no cases of clinically important traumatic brain injury (ciTBI) were identified in the very-low-risk group. CT scans were performed for 14.7% of patients in this study and for 33.8% in the original PECARN study. The PECARN rule successfully identified low-risk patients, and no cases of ciTBI were missed despite the reduced proportion of patients undergoing CT scans. Public Library of Science 2022-01-18 /pmc/articles/PMC8765658/ /pubmed/35041677 http://dx.doi.org/10.1371/journal.pone.0262102 Text en © 2022 Cho et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Research Article Cho, Sooje Hwang, Soyun Jung, Jae Yun Kwak, Young Ho Kim, Do Kyun Lee, Jin Hee Jung, Jin Hee Park, Joong Wan Kwon, Hyuksool Suh, Dongbum Validation of Pediatric Emergency Care Applied Research Network (PECARN) rule in children with minor head trauma |
title | Validation of Pediatric Emergency Care Applied Research Network (PECARN) rule in children with minor head trauma |
title_full | Validation of Pediatric Emergency Care Applied Research Network (PECARN) rule in children with minor head trauma |
title_fullStr | Validation of Pediatric Emergency Care Applied Research Network (PECARN) rule in children with minor head trauma |
title_full_unstemmed | Validation of Pediatric Emergency Care Applied Research Network (PECARN) rule in children with minor head trauma |
title_short | Validation of Pediatric Emergency Care Applied Research Network (PECARN) rule in children with minor head trauma |
title_sort | validation of pediatric emergency care applied research network (pecarn) rule in children with minor head trauma |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8765658/ https://www.ncbi.nlm.nih.gov/pubmed/35041677 http://dx.doi.org/10.1371/journal.pone.0262102 |
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