• Emerg Med Australas · Feb 2021

    Factors predictive for computed tomography use and abnormality in paediatric head injuries in Australia and New Zealand.

    • Catherine L Wilson, Stephen Jc Hearps, Emma J Tavender, Natalie T Phillips, Ben Lawton, Frances Kinnear, Amie Beattie, Hugh Mitenko, Russell Young, Joanne Cole, Amit Kochar, Shane George, Stephen Ss Teo, Thomas Georgeson, Adam Michael, Ashes Mukherjee, Alex King, Lalith Gamage, Peter Archer, Corey Cassidy, Arjun Rao, Deepali Thosar, Meredith L Borland, and Franz E Babl.
    • Emergency Research, Murdoch Children's Research Institute, Melbourne, Victoria, Australia.
    • Emerg Med Australas. 2021 Feb 1; 33 (1): 157-160.

    ObjectivesTo investigate patient-level factors predictive for computed tomography of the brain (CTB) use and abnormality in head injured children in Australia and New Zealand.MethodsRetrospective data from tertiary, urban/suburban and regional/rural EDs including factors predictive for CTB use and abnormality.ResultsOf 3072 children at 31 EDs, 212 (6.9%) had a CTB scan, of which 66 (31%) were abnormal. Increasing age, serious mechanisms of injury and decreasing Glasgow Coma Score were predictive for ordering CTB. Decreasing age was predictive for CTB abnormalities. Other factors were not.ConclusionPatient-level drivers of CTB use in children in Australia and New Zealand are consistent with international data.© 2020 Australasian College for Emergency Medicine.

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