Factors predictive for computed tomography use and abnormality in paediatric head injuries in Australia and New Zealand

Catherine L. Wilson; Stephen J.C. Hearps; Emma J. Tavender; Natalie T. Phillips; Ben Lawton; Frances Kinnear; Amie Beattie; Hugh Mitenko; Russell Young; Joanne Cole; Amit Kochar; Shane George; Stephen S.S. Teo; Thomas Georgeson; Adam Michael; Ashes Mukherjee; Alex King; Lalith Gamage; Peter Archer; Corey Cassidy; Arjun Rao; Deepali Thosar; Meredith L. Borland; Franz E. Babl

doi:10.1111/1742-6723.13694

Factors predictive for computed tomography use and abnormality in paediatric head injuries in Australia and New Zealand

Catherine L. Wilson, Stephen J.C. Hearps, Emma J. Tavender, Natalie T. Phillips, Ben Lawton, Frances Kinnear, Amie Beattie, Hugh Mitenko, Russell Young, Joanne Cole, Amit Kochar, Shane George, Stephen S.S. Teo, Thomas Georgeson, Adam Michael, Ashes Mukherjee, Alex King, Lalith Gamage, Peter Archer, Corey CassidyArjun Rao, Deepali Thosar, Meredith L. Borland, Franz E. Babl

Research output: Contribution to journal › Article › peer-review

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.

Original language	English
Pages (from-to)	157-160
Number of pages	4
Journal	EMA - Emergency Medicine Australasia
Volume	33
Issue number	1
DOIs	https://doi.org/10.1111/1742-6723.13694
Publication status	Published - Feb 2021

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Wilson, C. L., Hearps, S. J. C., Tavender, E. J., Phillips, N. T., Lawton, B., Kinnear, F., Beattie, A., Mitenko, H., Young, R., Cole, J., Kochar, A., George, S., Teo, S. S. S., Georgeson, T., Michael, A., Mukherjee, A., King, A., Gamage, L., Archer, P., ... Babl, F. E. (2021). Factors predictive for computed tomography use and abnormality in paediatric head injuries in Australia and New Zealand. EMA - Emergency Medicine Australasia, 33(1), 157-160. https://doi.org/10.1111/1742-6723.13694

@article{7b097c307156410e9fddf268180d1418,

title = "Factors predictive for computed tomography use and abnormality in paediatric head injuries in Australia and New Zealand",

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.",

keywords = "brain injury, computed tomography, emergency medicine, head injury, paediatric",

author = "Wilson, {Catherine L.} and Hearps, {Stephen J.C.} and Tavender, {Emma J.} and Phillips, {Natalie T.} and Ben Lawton and Frances Kinnear and Amie Beattie and Hugh Mitenko and Russell Young and Joanne Cole and Amit Kochar and Shane George and Teo, {Stephen S.S.} and Thomas Georgeson and Adam Michael and Ashes Mukherjee and Alex King and Lalith Gamage and Peter Archer and Corey Cassidy and Arjun Rao and Deepali Thosar and Borland, {Meredith L.} and Babl, {Franz E.}",

year = "2021",

month = feb,

doi = "10.1111/1742-6723.13694",

language = "English",

volume = "33",

pages = "157--160",

journal = "Emergency Medicine",

issn = "1742-6723",

publisher = "John Wiley & Sons",

number = "1",

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Wilson, CL, Hearps, SJC, Tavender, EJ, Phillips, NT, Lawton, B, Kinnear, F, Beattie, A, Mitenko, H, Young, R, Cole, J, Kochar, A, George, S, Teo, SSS, Georgeson, T, Michael, A, Mukherjee, A, King, A, Gamage, L, Archer, P, Cassidy, C, Rao, A, Thosar, D, Borland, ML & Babl, FE 2021, 'Factors predictive for computed tomography use and abnormality in paediatric head injuries in Australia and New Zealand', EMA - Emergency Medicine Australasia, vol. 33, no. 1, pp. 157-160. https://doi.org/10.1111/1742-6723.13694

TY - JOUR

T1 - Factors predictive for computed tomography use and abnormality in paediatric head injuries in Australia and New Zealand

AU - Wilson, Catherine L.

AU - Hearps, Stephen J.C.

AU - Tavender, Emma J.

AU - Phillips, Natalie T.

AU - Lawton, Ben

AU - Kinnear, Frances

AU - Beattie, Amie

AU - Mitenko, Hugh

AU - Young, Russell

AU - Cole, Joanne

AU - Kochar, Amit

AU - George, Shane

AU - Teo, Stephen S.S.

AU - Georgeson, Thomas

AU - Michael, Adam

AU - Mukherjee, Ashes

AU - King, Alex

AU - Gamage, Lalith

AU - Archer, Peter

AU - Cassidy, Corey

AU - Rao, Arjun

AU - Thosar, Deepali

AU - Borland, Meredith L.

AU - Babl, Franz E.

PY - 2021/2

Y1 - 2021/2

N2 - 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.

AB - 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.

KW - brain injury

KW - computed tomography

KW - emergency medicine

KW - head injury

KW - paediatric

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U2 - 10.1111/1742-6723.13694

DO - 10.1111/1742-6723.13694

M3 - Article

C2 - 33354919

AN - SCOPUS:85097893548

VL - 33

SP - 157

EP - 160

JO - Emergency Medicine

JF - Emergency Medicine

SN - 1742-6723

IS - 1

ER -

Factors predictive for computed tomography use and abnormality in paediatric head injuries in Australia and New Zealand

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