NDLI: Predicting factors for abnormal brain computed tomography in children with minor head trauma

Content Provider	Springer Nature : BioMed Central
Author	Naghibi, Taraneh Rostami, Mina Jamali, Behrad Karimimoghaddam, Zhaleh Zeraatchi, Alireza Rouhi, Asghar Jafari
Abstract	Background Deciding whether a cranial Computed Tomography (CT) scan in a patient with minor head trauma (MHT) is necessary or not has always been challenging. Diagnosing Traumatic Brain Injury (TBI) is a fundamental part of MHT managing especially in children who are more vulnerable in terms of brain CT radiation consequences and TBI. Defining some indications to timely and efficiently predict the likelihood of TBI is necessary. Thus, we aimed to determine the impact of clinical findings to predict the need for brain CT in children with MHT. Methods In a prospective cohort study, 200 children (2 to 14 years) with MHT were included from 2019 to 2020. The data of MHT-related clinical findings were gathered. The primary and secondary outcomes were defined as a positive brain CT and any TBI requiring neurosurgery intervention, respectively. In statistical analysis, we performed Binary Logistic regression analysis, Fisher’s exact test and independent samples t-test using SPSS V.26. Results The mean age of participants was 6.5 ± 3.06 years. Ninety patients underwent brain CT. The most common clinical finding and injury mechanism were headache and falling from height, respectively. The results of brain CTs were positive in seven patients (3.5%). We identified three predicting factors for an abnormal brain CT including headache, decreased level of consciousness, and vomiting. Conclusion We showed that repetitive vomiting (≥2), headache, and decreased level of consciousness are predicting factors for an abnormal brain CT in children with MHT.
Related Links	https://bmcemergmed.biomedcentral.com/counter/pdf/10.1186/s12873-021-00540-1.pdf
Ending Page	8
Page Count	8
Starting Page	1
File Format	HTM / HTML
DOI	10.1186/s12873-021-00540-1
Journal	BMC Emergency Medicine
Issue Number	1
Volume Number	21
Language	English
Publisher	BioMed Central
Publisher Date	2021-11-19
Access Restriction	Open
Subject Keyword	Emergency Medicine Medicine Public Health Minor head trauma Children Traumatic brain injury Brain computed tomography scan Medicine/Public Health
Content Type	Text
Resource Type	Article
Subject	Emergency Medicine
Journal Impact Factor	2.3/2023
5-Year Journal Impact Factor	2.5/2023

Sl.	Authority	Responsibilities	Communication Details
1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
2	Indian Institute of Technology Kharagpur	Host Institute of the Project: The host institute of the project is responsible for providing infrastructure support and hosting the project	https://www.iitkgp.ac.in
3	National Digital Library of India Office, Indian Institute of Technology Kharagpur	The administrative and infrastructural headquarters of the project	Dr. B. Sutradhar bsutra@ndl.gov.in
4	Project PI / Joint PI	Principal Investigator and Joint Principal Investigators of the project	Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon
5	Website/Portal (Helpdesk)	Queries regarding NDLI and its services	support@ndl.gov.in
6	Contents and Copyright Issues	Queries related to content curation and copyright issues	content@ndl.gov.in
7	National Digital Library of India Club (NDLI Club)	Queries related to NDLI Club formation, support, user awareness program, seminar/symposium, collaboration, social media, promotion, and outreach	clubsupport@ndl.gov.in
8	Digital Preservation Centre (DPC)	Assistance with digitizing and archiving copyright-free printed books	dpc@ndl.gov.in
9	IDR Setup or Support	Queries related to establishment and support of Institutional Digital Repository (IDR) and IDR workshops	idr@ndl.gov.in

Role of brain CT scan in the diagnosis of patients with minor head injury in trauma emergency center

Risk factors for positive brain CT scan in children with traumatic brain injury and GCS = 15: A retrospective study.

Clinical predictors of abnormal computed tomography scan in minor head trauma in children under 2 years old

“Decision tree analysis for assessing the risk of post-traumatic haemorrhage after mild traumatic brain injury in patients on oral anticoagulant therapy”

Effect of the Head Computed Tomography Choice Decision Aid in Parents of Children With Minor Head Trauma: A Cluster Randomized Trial

The identification of key factors predictive of traumatic brain injury in paediatric patients with a minor blunt head injury

Minor Pediatric Head Trauma in the Emergency Unit

Indications of Brain Computed Tomography Scan in Children Younger Than 3 Years of Age with Minor Head Trauma

Clinical indicators for traumatic intracranial findings in mild traumatic brain injury patients.

Predicting factors for abnormal brain computed tomography in children with minor head trauma

Similar Documents

Role of brain CT scan in the diagnosis of patients with minor head injury in trauma emergency center

Risk factors for positive brain CT scan in children with traumatic brain injury and GCS = 15: A retrospective study.

Clinical predictors of abnormal computed tomography scan in minor head trauma in children under 2 years old

“Decision tree analysis for assessing the risk of post-traumatic haemorrhage after mild traumatic brain injury in patients on oral anticoagulant therapy”

Effect of the Head Computed Tomography Choice Decision Aid in Parents of Children With Minor Head Trauma: A Cluster Randomized Trial

The identification of key factors predictive of traumatic brain injury in paediatric patients with a minor blunt head injury

Minor Pediatric Head Trauma in the Emergency Unit

Indications of Brain Computed Tomography Scan in Children Younger Than 3 Years of Age with Minor Head Trauma

Clinical indicators for traumatic intracranial findings in mild traumatic brain injury patients.

Predicting factors for abnormal brain computed tomography in children with minor head trauma