• Can J Emerg Med · Jan 2019

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    Comparison of PECARN, CATCH, and CHALICE clinical decision rules for pediatric head injury in the emergency department.

    • Mark McGraw and Todd Way.
    • *Memorial University of Newfoundland School of Medicine,St. John's, NL.
    • Can J Emerg Med. 2019 Jan 1; 21 (1): 120-124.

    Clinical questionWhat is the diagnostic accuracy of the PECARN, CATCH, and CHALICE clinical decision rules for pediatric head injury, and are the clinical decision rules valid when applied to a novel data set?Article chosenBabl FE, Borland ML, Phillips N, et al. Accuracy of PECARN, CATCH, and CHALICE head injury decision rules in children: a prospective cohort study. Lancet (London, England) 2017;389(10087):2393-402. ObjectiveThe primary objective of the study was to determine the diagnostic accuracy and provide external validation for the PECARN, CATCH, and CHALICE clinical decision rules in a clinically homogeneous cohort of children. The secondary objective of this study was to perform a direct comparison of the three decision rules by assessing for the presence of traumatic brain injury (TBI) on computed tomography (CT) or the requirement for neurointervention.

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