Abstract | STUDY OBJECTIVE: To assess the need for cranial computed tomography (CT) in the emergency department evaluation of children with Glasgow Coma Scale (GCS) score of 15 after mild head injury with loss of consciousness. DESIGN: Retrospective case series of children aged 2 to 17 years with documented loss of consciousness after head injury from January 1, 1988, to July 31, 1992. All had a GCS score of 15 on initial ED evaluation and were further categorized according to physical examination findings, neurologic status, and whether the head injury was isolated or nonisolated. Recursive partitioning was used to identify variables predictive of the presence and absence of intracranial hemorrhage. SETTING: ED in two settings: a regional tertiary care trauma center and a community children's hospital. RESULTS: CONCLUSION:
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Authors | R L Davis, N Mullen, M Makela, J A Taylor, W Cohen, F P Rivara |
Journal | Annals of emergency medicine
(Ann Emerg Med)
Vol. 24
Issue 4
Pg. 640-5
(Oct 1994)
ISSN: 0196-0644 [Print] United States |
PMID | 8092590
(Publication Type: Journal Article)
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Topics |
- Adolescent
- Cerebral Hemorrhage
(diagnostic imaging)
- Chi-Square Distribution
- Child
- Child, Preschool
- Coma
(classification, diagnostic imaging)
- Craniocerebral Trauma
(diagnosis, diagnostic imaging)
- Female
- Glasgow Coma Scale
- Humans
- Male
- Neurologic Examination
- Patient Discharge
- Predictive Value of Tests
- Retrospective Studies
- Skull Fractures
(diagnostic imaging)
- Tomography, X-Ray Computed
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