Clinician judgment versus a decision rule for identifying children at risk of traumatic brain injury on computed tomography after blunt head trauma

MJ Palchak, JF Holmes… - Pediatric emergency care, 2009 - journals.lww.com
Objective: To compare a decision rule with clinician judgment for identifying children at risk
of traumatic brain injury (TBI) after blunt head trauma. Methods: We performed an …

A decision rule for identifying children at low risk for brain injuries after blunt head trauma

MJ Palchak, JF Holmes, CW Vance, RE Gelber… - Annals of emergency …, 2003 - Elsevier
STUDY OBJECTIVE: Computed tomography (CT) is frequently used in evaluating children
with blunt head trauma. Routine use of CT, however, has disadvantages. Therefore, we …

Comparison of prediction rules and clinician suspicion for identifying children with clinically important brain injuries after blunt head trauma

SM Atabaki, JD Hoyle Jr, JE Schunk… - Academic …, 2016 - Wiley Online Library
Objective Children with minor head trauma frequently present to emergency departments
(EDs). Identifying those with traumatic brain injuries (TBIs) can be difficult, and it is unknown …

Validation of the pediatric NEXUS II head computed tomography decision instrument for selective imaging of pediatric patients with blunt head trauma

M Gupta, WR Mower, RM Rodriguez… - Academic Emergency …, 2018 - Wiley Online Library
Background Data suggest that clinicians, when evaluating pediatric patients with blunt head
trauma, may be overordering head computed tomography (CT). Prior decision instruments …

Blunt head trauma in children in a community health care setting: outcomes and variables associated with the use of computed tomography

PJ Van Winkle, NJ Ho, CA Rodriguez… - The Journal of …, 2012 - Elsevier
OBJECTIVE: To evaluate the incidence of clinically important traumatic brain injury (ciTBI) in
children presenting to a community hospital setting and identified factors associated with …

Performance of a decision rule to predict need for computed tomography among children with blunt head trauma

JA Oman, RJ Cooper, JF Holmes, P Viccellio… - …, 2006 - publications.aap.org
OBJECTIVE. To assess the ability of the NEXUS II head trauma decision instrument to
identify patients with clinically important intracranial injury (ICI) from among children with …

The effect of observation on cranial computed tomography utilization for children after blunt head trauma

LE Nigrovic, JE Schunk, A Foerster, A Cooper… - …, 2011 - publications.aap.org
OBJECTIVE: Children with minor blunt head trauma often are observed in the emergency
department before a decision is made regarding computed tomography use. We studied the …

Do children with blunt head trauma and normal cranial computed tomography scan results require hospitalization for neurologic observation?

JF Holmes, DA Borgialli, FM Nadel, KS Quayle… - Annals of emergency …, 2011 - Elsevier
STUDY OBJECTIVE: Children evaluated in the emergency department (ED) with minor blunt
head trauma, defined by initial Glasgow Coma Scale (GCS) scores of 14 or 15, are …

Children with minor blunt head trauma presenting to the emergency department

LE Nigrovic, N Kuppermann - Pediatrics, 2019 - publications.aap.org
In our state-of-the-art review, we summarize the best-available evidence for the optimal
emergency department management of children with minor blunt head trauma. Minor blunt …

Implementation of a clinical decision support system for children with minor blunt head trauma who are at nonnegligible risk for traumatic brain injuries

DW Ballard, N Kuppermann, DR Vinson, E Tham… - Annals of emergency …, 2019 - Elsevier
Study objective To determine the effect of providing risk estimates of clinically important
traumatic brain injuries and management recommendations on emergency department (ED) …