♦ Schonfeld D, et al. Arch Dis Child. Jan. 15, 2014, http://bit.ly/P135hC.

Age-based traumatic brain injury (TBI) clinical prediction rules accurately identified children at very low risk for a clinically significant TBI, according to a cross-sectional study of 2,439 children.

When children present to the emergency department (ED) with head injuries, clinicians must balance the risk of missing a TBI with the future risk of cancer from exposure to radiation during a computed tomography (CT) scan.

The Pediatric Emergency Care Applied Research Network (PECARN) developed clinical prediction rules in 2009 to identify children at very low risk for clinically significant head injury who might be able to safely avoid CT scan. This study aimed to validate those rules.

Subjects included children presenting to pediatric EDs in Boston and Padova, Italy, within 24 hours of a head injury and having an initial Glasgow Coma Score of ≥ 14. Padova...

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