Performance of a Decision Rule to Predict Need for Computed Tomography Among Children With Blunt Head Trauma

To assess the ability of the NEXUS II head trauma decision instrument to identify patients with clinically important intracranial injury (ICI) from among children with blunt head trauma. An analysis was conducted of the pediatric cohort involved in the derivation set of National Emergency X-Radiogra...

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Bibliographic Details
Published in:Pediatrics (Evanston) 2006-02, Vol.117 (2), p.e238-e246
Main Authors: Oman, Jennifer A, Cooper, Richelle J, Holmes, James F, Viccellio, Peter, Nyce, Andrew, Ross, Steven E, Hoffman, Jerome R, Mower, William R, NEXUS II Investigators
Format: Article
Language:English
Subjects:
Adolescent
Brain Injuries - diagnostic imaging
Child
Child, Preschool
Cohort Studies
Decision Support Techniques
Emergency Service, Hospital
Female
Head Injuries, Closed - diagnostic imaging
Humans
Infant
Male
Sensitivity and Specificity
Tomography, X-Ray Computed
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Summary:To assess the ability of the NEXUS II head trauma decision instrument to identify patients with clinically important intracranial injury (ICI) from among children with blunt head trauma. An analysis was conducted of the pediatric cohort involved in the derivation set of National Emergency X-Radiography Utilization Study II (NEXUS II), a prospective, observational, multicenter study of all patients who had blunt head trauma and underwent cranial computed tomography (CT) imaging at 1 of 21 emergency departments. We determined the test performance characteristics of the 8-variable NEXUS II decision instrument, derived from the entire NEXUS II cohort, in the pediatric cohort (0-18 years of age), as well as in the very young children (
ISSN:0031-4005
1098-4275
DOI:10.1542/peds.2005-1063