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 journalArticle

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 languageEnglish
JournalEMA - Emergency Medicine Australasia
DOIs
Publication statusAccepted/In press - 2020

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