Frequency of neuroimaging for pediatric minor brain injury is determined by the primary treating medical department

Klora, Mike; Zeidler, Jan; Bassler, Stefan; Hirsch, Wolfgang; Gosemann, Jan‐Hendrik; Lacher, Martin; Zimmermann, Peter

doi:10.1097/md.0000000000016320

Cited by 5 publications

(3 citation statements)

References 21 publications

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“…Consequently, one strength of this study is the large study population we were able to analyze. Many studies have demonstrated the ability of claims data to adequately represent pediatric care conditions [ 12 , 21 , 22 , 23 , 24 , 25 ].…”

Section: Discussionmentioning

confidence: 99%

Management of Children and Adolescents with Chest Trauma in Pediatric and Non-Pediatric Departments—A Claims Data Analysis

et al. 2023

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Background: To investigate the management of children and adolescents with isolated and combined chest trauma in pediatric (PD) and non-pediatric departments (non-PD). Methods: Anonymized claims data were provided by two large German statutory health insurance funds, covering 6.3 million clients over a 10-year period (2010–2019). Data were extracted for patients who had an inpatient ICD diagnosis of section S20–S29 (injuries to the thorax) and were ≤18 years of age. Demographic and clinical data were analyzed. Results: A total of 4064 children and adolescents with chest trauma were included (mean age 12.0 ± 5.0 years; 55% male). In 1928 cases (47.4%), treatment was provided at PD. Patients admitted to PD underwent CT imaging less frequently (8.1%; non-PD: 23.1%; p < 0.0001). Children with a chest drain treated at university/maximum care hospitals (UM) showed more injuries involving multiple body regions compared with non-UM (25.8% vs. 4.5%; p = 0.0061) without a difference in the length of hospital stay. Conclusion: Children and adolescents with chest trauma are treated almost equally often in pediatric and adult departments. CT is significantly less frequently used in pediatric departments. Patients with a chest drain treated at a UM showed more concomitant injuries without a longer hospital stay. However, the clinical validity of this finding is questionable.

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Section: Discussionmentioning

confidence: 99%

Management of Children and Adolescents with Chest Trauma in Pediatric and Non-Pediatric Departments—A Claims Data Analysis

et al. 2023

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“…In previous studies of our own group, we have demonstrated that claims data are an appropriate source of evidence for pediatric health services research. [ 15 – 17 ]…”

Section: Discussionmentioning

confidence: 99%

“…For head trauma the association between cranial CT imaging and patient age in children up to 18 years of age has been demonstrated before. [ 15 ] However, it remains unclear why imaging is obtained more frequently with increasing age, especially in teenagers. The possibility to perform cross-sectional imaging in teenagers without sedation may also contribute to this finding.…”

Section: Discussionmentioning

confidence: 99%