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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


Franz E. Babl

Ed Oakley

Stuart R. Dalziel

Meredith L. Borland

Natalie Phillips

Amit Kochar

Sarah Dalton

John A. Cheek

Yuri Gilhotra

Jeremy Furyk

Jocelyn Neutze

Susan Donath

Stephen Hearps

Charlotte Molesworth

Louise Crowe

Silvia Bressan

Mark Lyttle


© 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


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.

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
Keywords paediatric, head injury, clinician accuracy
Public URL
Publisher URL
Additional Information Additional Information : This is the author'a accepted manuscript. The final published version is available at:


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