“…For these reasons, traditional diagnostic approaches that are highly successful for other forms of TBI are not recommended for AHT. 18,19 In centers without access to rapid MRI, cost-effectiveness analysis supported screening with the Pittsburgh Infant Brain Injury Score and a relatively low threshold for imaging in children with high-risk complaints. 17,20 Their overall conclusion is clear: the need for secondary prevention implies a much lower testing threshold for AHT than other forms of TBI.…”
“…For these reasons, traditional diagnostic approaches that are highly successful for other forms of TBI are not recommended for AHT. 18,19 In centers without access to rapid MRI, cost-effectiveness analysis supported screening with the Pittsburgh Infant Brain Injury Score and a relatively low threshold for imaging in children with high-risk complaints. 17,20 Their overall conclusion is clear: the need for secondary prevention implies a much lower testing threshold for AHT than other forms of TBI.…”
Our results show a high prevalence of occult head injury in patients <2 years old with suspected physical abuse. Our data support the ACR recommendation that clinicians should have a low threshold to perform neuroimaging in patients <2 years of age.
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