Is Cranial Computerized Tomography Really Necessary for Infants With Minor Head Trauma?

Köksal, Özlem; Ozeren, Gulden; Yenice, Huseyin; Cildir, Ergun

doi:10.5152/jaem.2011.012

Cited by 2 publications

(1 citation statement)

References 9 publications

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“…In a study that investigated the need for CT in pediatric cases of head trauma, the rate of pathological findings was reported as 16.7%, whereas another study reported this rate as 8% [ 21 , 22 ]. A study that analyzed minor head trauma in adults and children stated that patients with a Glasgow Coma Score (GCS) of 15 could be safely discharged and determined the rate of abnormal CT scans to be 6% [ 23 ].…”

Section: Discussionmentioning

confidence: 99%

A Comprehensive Analysis of the Radiation Exposure and the Diagnostic Benefit of PanCT in Pediatric Cases with Multiple Trauma

Komut

Afşarlar

2023

Medicina

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Background and Objectives: The primary objective of this study was to obtain quantitative data, taking into account the amount of radiation exposure, about the clinical and diagnostic benefit obtained from panCT in pediatric trauma cases. Thus, we aim to create greater awareness in all physicians and primarily emergency medicine physicians regarding correct selection in terms of the patient group where this effective radiological method is to be applied, and to protect children from the adverse effects of radiation. Materials and Methods: The computed tomography (CT) images were retrieved from the hospital radiological archive system (PACS). The effective dose (Ed) was calculated using the standardized method including the tissue weighted parameters. The radiological pathologies determined as a result of CT imaging of the cases were categorized according to clinical significance in accordance with the Modified CT Colonography Reporting and Data System (C-RADS). Results: The data for a total of 268 patients were analyzed, comprising 89 (33.2%) females and 179 (66.8%) males with a mean age of 8.81 ± 5.21 years. The mean Ed was determined to be 18.14 ± 10.44 mSv. The Ed was determined to be statistically significantly higher in the 1–5 years age group than in the 15–18 years age group (p = 0.024). A statistically significant difference was determined between the age groups in terms of the pathologies determined (p = 0.028). Conclusions: In order to prevent performing unnecessary CT imaging, trauma teams in Emergency Departments (ED) should work in harmony and individual decision-making should be based on the severity of the trauma mechanism, the severity of the predicted injury, and the clinical status of the injured child.

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Section: Discussionmentioning

confidence: 99%

A Comprehensive Analysis of the Radiation Exposure and the Diagnostic Benefit of PanCT in Pediatric Cases with Multiple Trauma

Komut

Afşarlar

2023

Medicina

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The Role of Computerized Tomography for the Evaluation of Head Trauma in Children

Sönmez

Kılıçaslan

Yalçın

2018

Konuralp Tıp Dergisi

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Kafa travması çocukların acil servise sık başvuru nedenlerindendir. Travma nedeniyle iki yaş altı çocukların bilgisayarlı tomografi gerekliliği açısından değerlendirilmesi oldukça zordur. Bu çalışmanın amacı 2 yaş altı çocukların değerlendirilmesinde gereksiz kranial bilgisayarlı tomografi çekimine dikkat çekmektir. Gereç ve Yöntem: Acil Servise, yaşları 0-24 ay arası olan ve Ocak 2011 ile Aralık 2015 tarihleri arasında gelen kafa travmalı 183 olgunun kayıtları geriye dönük olarak incelenmiştir. Bulgular: Çalışmaya dahil edilen 183 olgunun, 93'ü erkek (%50,8), 90'ı kız (%49,2) ve hastaların yaşları ortalama 13.08±6.30 (en küçük 1, en büyük 24) ay idi. Kazaların 139'u (%76) düşme, 24'ü (%13,1) araç dışı trafik kazası, 20'si (%10,9) araç içi trafik kazası sonucu gerçekleşmişti. Olguların %12'sine kranial bilgisayarlı tomografi çekilmezken, %80'ine çekilmişti. Kranial bilgisayarlı tomografi çekilen hastaların 7'sinde (%3,8) frontal kemikte, 1'inde (%0,5) temporal kemikte, 5'inde (%2,7) oksipital kemikte, 5'inde (%2,7) parietal kemikte kırık saptandı. Hastaların yatış süresi 0.54±2,90 (en küçük 0, en büyük 27) gün idi. Olguların hiçbirinde operasyon gereksinimi olmadı. Sonuç: İki yaş altı çocuklarda, kafa travmalarında bilgisayarlı tomografi çekilme oranındaki yükseklik dikkat çekici bulundu. Bu çalışma ile özellikle hafif kafa travmalı olgularda bilgisayarlı tomografi istenmesi için doğru endikasyon konulması, daha ayrıntılı ve objektif kriterleri belirleyen çalışmalar ile istemin azaltılması gerekliliği vurgulanmıştır.

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Is Cranial Computerized Tomography Really Necessary for Infants With Minor Head Trauma?

Cited by 2 publications

References 9 publications

A Comprehensive Analysis of the Radiation Exposure and the Diagnostic Benefit of PanCT in Pediatric Cases with Multiple Trauma

A Comprehensive Analysis of the Radiation Exposure and the Diagnostic Benefit of PanCT in Pediatric Cases with Multiple Trauma

The Role of Computerized Tomography for the Evaluation of Head Trauma in Children

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