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Hot Off the Press: Validation of the Pediatric NEXUS II Head Computed Tomography Decision Instrument for Selective Imaging of Pediatric Patients with Blunt Head Trauma
Author(s) -
Heitz Corey,
Morgenstern Justin,
Bond Christopher,
Milne William K.
Publication year - 2019
Publication title -
academic emergency medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.221
H-Index - 124
eISSN - 1553-2712
pISSN - 1069-6563
DOI - 10.1111/acem.13549
Subject(s) - medicine , head trauma , computed tomography , blunt , nexus (standard) , head injury , radiology , blunt trauma , head (geology) , medical physics , surgery , geomorphology , computer science , embedded system , geology
This is a validation of a preplanned secondary analysis of the NEXUS II Head computed tomography ( CT ) decision instrument, focusing on the pediatric population. A total of 1,018 patients less than 18 years old, who underwent head CT imaging for blunt head trauma, were included. The decision instrument correctly identified all patient (27/27) who required neurosurgical intervention and 48 of 49 patients who had clinically significant head injury on CT imaging.