Accuracy of Clinician Practice Compared With Three Head Injury Decision Rules in Children: A Prospective Cohort Study

Babl, Franz E.; Oakley, Ed; Dalziel, Stuart R.; Borland, Meredith L.; Phillips, Natalie; Kochar, Amit; Dalton, Sarah; Cheek, John A.; Gilhotra, Yuri; Furyk, Jeremy; Neutze, Jocelyn; Donath, Susan; Hearps, Stephen; Molesworth, Charlotte; Crowe, Louise; Bressan, Silvia; Lyttle, Mark

Abstract

© 2018 American College of Emergency Physicians Study objective: Three clinical decision rules for head injuries in children (Pediatric Emergency Care Applied Research Network [PECARN], Canadian Assessment of Tomography for Childhood Head Injury [CATCH], and Children's Head Injury Algorithm for the Prediction of Important Clinical Events [CHALICE]) have been shown to have high performance accuracy. The utility of any of these in a particular setting depends on preexisting clinician accuracy. We therefore assess the accuracy of clinician practice in detecting clinically important traumatic brain injury. Methods: This was a planned secondary analysis of a prospective observational study of children younger than 18 years with head injuries at 10 Australian and New Zealand centers. In a cohort of children with mild head injuries (Glasgow Coma Scale score 13 to 15, presenting in

Citation

Babl, F. E., Oakley, E., Dalziel, S. R., Borland, M. L., Phillips, N., Kochar, A., …Lyttle, M. (2018). Accuracy of Clinician Practice Compared With Three Head Injury Decision Rules in Children: A Prospective Cohort Study. Annals of Emergency Medicine, 71(6), 703-710. https://doi.org/10.1016/j.annemergmed.2018.01.015

• Journal Article Type: Article
• Acceptance Date: Jan 5, 2018
• Online Publication Date: Feb 13, 2018
• Publication Date: Jun 1, 2018
• Journal: Annals of Emergency Medicine
• Print ISSN: 0196-0644
• Electronic ISSN: 1097-6760
• Publisher: Elsevier
• Peer Reviewed: Peer Reviewed
• Volume: 71
• Issue: 6
• Pages: 703-710
• DOI: https://doi.org/10.1016/j.annemergmed.2018.01.015
• Keywords: paediatric, head injury, clinician accuracy
• Public URL: https://uwe-repository.worktribe.com/output/865454
• Publisher URL: http://dx.doi.org/10.1016/j.annemergmed.2018.01.015
• Additional Information: Additional Information : This is the author'a accepted manuscript. The final published version is available at: http://dx.doi.org/10.1016/j.annemergmed.2018.01.015