Indications for Brain Computed Tomography and Hospital Admission in Pediatric Patients with Minor Head Injury: How Much Can We Rely upon Clinical Findings?

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dc.authoridAylanc, Hakan/0000-0002-8907-3809
dc.authoridHicdonmez, Tufan/0000-0003-4847-8727;
dc.authorwosidAylanc, Hakan/HKV-4794-2023
dc.authorwosidHicdonmez, Tufan/AGI-0165-2022
dc.authorwosidGuzel, Ahmet/AGE-2880-2022
dc.authorwosidAylanç, Hakan/I-4373-2019
dc.contributor.authorGuzel, Ahmet
dc.contributor.authorHicdonmez, Tufan
dc.contributor.authorTemizoz, Osman
dc.contributor.authorAksu, Burhan
dc.contributor.authorAylanc, Hakan
dc.contributor.authorKarasalihoglu, Serap
dc.date.accessioned2024-06-12T11:02:56Z
dc.date.available2024-06-12T11:02:56Z
dc.date.issued2009
dc.departmentTrakya Üniversitesien_US
dc.description.abstractObjectives: The aim of this study was to describe the characteristics of patients with a minor head injury (MHI) who were admitted to a pediatric emergency unit and to identify the clinical signs and symptoms that most reliably predict the need for cranial computed tomography (CCT) and hospital admission following MHI. Methods: All patients were retrospectively evaluated according to age, gender, details of injury, presenting symptoms, physical examination findings, radiological investigations ordered and results, length of stay, outcome of the injury and hospitalization rates. Results: The factors affecting indications for computed tomography and hospitalization were retrospectively analyzed in 916 patients - 585 males and 331 females, aged between 1 month and 15 years (mean: 5.01 +/- 3.58 years), with MHI. A multivariate analysis revealed significant correlations between CCT abnormalities and Glasgow Coma Scale scores of 13 or 14, headache, posttraumatic amnesia, blurred vision, cephalohematomas, periorbital ecchymoses, otorrhea and abnormal neurological findings. CCT abnormalities were identified in 67 (19.8%) of the 338 CCT scans. Twenty of the 67 patients (29.9%) with CCT scan abnormality had no clinical signs. Of all cases, 125 (13.6%) were hospitalized, 617 (67.4%) were treated as outpatients, and 174 (19.0%) left the emergency department based on a personal decision. Conclusion: Some clinical risk factors can be used as predictors of abnormalities in CCT scans following MHI, but the absence of such clinical findings does not exclude the possibility of intracranial injuries. Copyright (C) 2009 S. Karger AG, Baselen_US
dc.identifier.doi10.1159/000228984
dc.identifier.endpage270en_US
dc.identifier.issn1016-2291
dc.identifier.issn1423-0305
dc.identifier.issue4en_US
dc.identifier.pmid19609094en_US
dc.identifier.scopus2-s2.0-67650468158en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage262en_US
dc.identifier.urihttps://doi.org/10.1159/000228984
dc.identifier.urihttps://hdl.handle.net/20.500.14551/21476
dc.identifier.volume45en_US
dc.identifier.wosWOS:000269788000003en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherKargeren_US
dc.relation.ispartofPediatric Neurosurgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectHead Injuryen_US
dc.subjectComputed Tomographyen_US
dc.subjectTraumaen_US
dc.subjectPediatricen_US
dc.subjectRisk Factorsen_US
dc.subjectHospital Admissionen_US
dc.subjectIntracranial Injuryen_US
dc.subjectChildren Youngeren_US
dc.subjectLow-Risken_US
dc.subjectTraumaen_US
dc.subjectScansen_US
dc.subjectRuleen_US
dc.subjectManagementen_US
dc.subjectPredictorsen_US
dc.titleIndications for Brain Computed Tomography and Hospital Admission in Pediatric Patients with Minor Head Injury: How Much Can We Rely upon Clinical Findings?en_US
dc.typeArticleen_US

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