• Roberto Velasco, Carmel M Moore, Samir Deiratany, Federica D'Elia, Laetitia Bertrand Tourteau, Chiara Zuiani, Zsolt Bognar, Katalin Erdelyi, Balazs Fadgyas, Marianna Fejes, Ozlem Teksam, Yalçin Mirzeyev, Pelin Esmeray, Santiago M Fernández, Amaia Ricondo, Liviana Da Dalt, Silvia Bressan, Elena Priante, Eveline Snoeck, Merel Broers, Coriene E Castman-Berrevoets, Ricardo M Fernandes, Joana Borges, Anaida Obieta, Maider Alcalde, Sergio Piñol, Javier González, Annachiara Azzali, Daniela Gioè, Luisa La Spina, Martina Bianconi, Marta Arribas, and Niccolò Parri.
• Eur J Emerg Med. 2021 Jun 1; 28 (3): 196201196-201.

ObjectiveThe objective of the study was to assess the variability in the management of paediatric MHT in European emergency departments (EDs).MethodsThis was a multicentre retrospective study of children ≤18 years old with minor head trauma (MHT) (Glasgow Coma Scale ≥14) who presented to 15 European EDs between 1 January 2013 and 31 December 31. Data on clinical characteristics, imaging tests, and disposition of included patients were collected at each hospital over a 3-year period.ResultsWe included 11 212 patients. Skull radiography was performed in 3416 (30.5%) patients, range 0.4-92.3%. A computed tomography (CT) was obtained in 696 (6.2%) patients, range 1.6-42.8%. The rate of admission varied from 0 to 48.2%.ConclusionWe found great variability in terms of the type of imaging and rate of CT scan obtained. Our study suggests opportunity for improvement in the area of paediatric head injury and the need for targeted individualised ED interventions to improve management of MHT.Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.

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