Publication:
The comparison of pecarn, catch, and chalice criteria in children under the age of 18 years with minor head trauma in emergency department

dc.contributor.authorGizli, Gizem
dc.contributor.authorDurak, Vahide Aslıhan
dc.contributor.authorKöksal, Özlem
dc.contributor.buuauthorDURAK, VAHİDE ASLIHAN
dc.contributor.departmentTıp Fakültesi
dc.contributor.departmentAcil Tıp Ana Bilim Dalı
dc.contributor.orcid0000-0003-0836-7862
dc.contributor.researcheridAAE-9483-2021
dc.date.accessioned2024-05-30T10:23:21Z
dc.date.available2024-05-30T10:23:21Z
dc.date.issued2020-06-14
dc.description.abstractIntroduction: Minor head traumas constitute a significant part of childhood injuries. The incidence of intracranial pathologies in children with minor head trauma varies in the range of 3%-5%, but it is higher among younger infants. The criteria of the Pediatric Emergency Care Applied Research Network, Canadian Assessment of Tomography for Childhood Head Injury, and Children's Head Injury Algorithm for the Prediction of Important Clinical Events are the most frequently accepted clinical decision-making criteria that were developed for selective computerized tomography requests. This study was conducted to assess the diagnostic performances of the Pediatric Emergency Care Applied Research Network, Canadian Assessment of Tomography for Childhood Head Injury, and Children's Head Injury Algorithm for the Prediction of Important Clinical Events criteria in Turkish society, determine their validity, and find the most suitable algorithm for cranial imaging in children with minor head trauma. Methods: This study retrospectively examined the data of patients under the age of 18 years who were admitted to the Emergency Medicine Department of Uludag University Medical Faculty due to minor head trauma; 530 patients were included as they complied with the criteria. The exclusion criteria were being any trauma patients above the age of 18 years, Glasgow Coma Scale <13, pregnant patients, hemorrhagic diathesis, using anticoagulants, patients with penetrant trauma, patients with priorly known brain tumor, and patients with neurological diseases. The patients were divided into group based on the Pediatric Emergency Care Applied Research Network, Canadian Assessment of Tomography for Childhood Head Injury, and Children's Head Injury Algorithm for the Prediction of Important Clinical Events Criteria. Results: Among all patients, 37.40% were female and 62.60% were male. Abnormal computed tomography findings such as epidural bleeding, subdural bleeding, and skull fractures were detected in 44 of the patients. The sensitivity of the Pediatric Emergency Care Applied Research Network criteria was 72.4%, the specificity was 54.5%, the sensitivity of the Canadian Assessment of Tomography for Childhood Head Injury criteria was 57.8%, the specificity was 50%, the sensitivity of the Children's Head Injury Algorithm for the Prediction of Important Clinical Events criteria was 87.7%, and the specificity was 20%. Conclusion: Given the populations to which the rules apply, it is understood that the Children's Head Injury Algorithm for the Prediction of Important Clinical Events criteria is more determinative in detecting pathological computed tomography outcomes compared to Pediatric Emergency Care Applied Research Network and Canadian Assessment of Tomography for Childhood Head Injury.
dc.identifier.doi10.1177/1024907920930510
dc.identifier.eissn2309-5407
dc.identifier.endpage37
dc.identifier.issn1024-9079
dc.identifier.issue1
dc.identifier.startpage31
dc.identifier.urihttps://doi.org/10.1177/1024907920930510
dc.identifier.urihttps://onlinelibrary.wiley.com/doi/10.1177/1024907920930510
dc.identifier.urihttps://hdl.handle.net/11452/41559
dc.identifier.volume29
dc.identifier.wos000540484900001
dc.indexed.wosWOS.SCI
dc.language.isoen
dc.publisherSage Publications Ltd
dc.relation.journalHong Kong Journal Of Emergency Medicine
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectPediatric-patients
dc.subjectBrain-injuries
dc.subjectDecision rule
dc.subjectManagement
dc.subjectPrediction
dc.subjectAlgorithm
dc.subjectEmergency department
dc.subjectMinor head trauma
dc.subjectPecarn
dc.subjectChalice
dc.subjectScience & technology
dc.subjectLife sciences & biomedicine
dc.subjectEmergency medicine
dc.subjectEmergency medicine
dc.titleThe comparison of pecarn, catch, and chalice criteria in children under the age of 18 years with minor head trauma in emergency department
dc.typeArticle
dspace.entity.typePublication
local.contributor.departmentTıp Fakültesi/Acil Tıp Ana Bilim Dalı
relation.isAuthorOfPublicationfef584c2-9e17-4aaf-a681-04eda6a3ea30
relation.isAuthorOfPublication.latestForDiscoveryfef584c2-9e17-4aaf-a681-04eda6a3ea30

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