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Factors predictive for computed tomography use and abnormality in paediatric head injuries in Australia and New Zealand
Author(s) -
Wilson Catherine L,
Hearps Stephen JC,
Tavender Emma J,
Phillips Natalie T,
Lawton Ben,
Kinnear Frances,
Beattie Amie,
Mitenko Hugh,
Young Russell,
Cole Joanne,
Kochar Amit,
George Shane,
Teo Stephen SS,
Georgeson Thomas,
Michael Adam,
Mukherjee Ashes,
King Alex,
Gamage Lalith,
Archer Peter,
Cassidy Corey,
Rao Arjun,
Thosar Deepali,
Borland Meredith L,
Babl Franz E
Publication year - 2021
Publication title -
emergency medicine australasia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.602
H-Index - 52
eISSN - 1742-6723
pISSN - 1742-6731
DOI - 10.1111/1742-6723.13694
Subject(s) - abnormality , medicine , glasgow coma scale , predictive value , computed tomography , coma (optics) , retrospective cohort study , pediatrics , radiology , surgery , psychiatry , physics , optics
Abstract Objectives To investigate patient‐level factors predictive for computed tomography of the brain (CTB) use and abnormality in head injured children in Australia and New Zealand. Methods Retrospective data from tertiary, urban/suburban and regional/rural EDs including factors predictive for CTB use and abnormality. Results Of 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. Conclusion Patient‐level drivers of CTB use in children in Australia and New Zealand are consistent with international data.