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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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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cited_by cdi_FETCH-LOGICAL-c373t-7d0a8d23270302b6ddc405926f9e51b06098c3993e32a85ec10629321aa1c943
cites cdi_FETCH-LOGICAL-c373t-7d0a8d23270302b6ddc405926f9e51b06098c3993e32a85ec10629321aa1c943
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container_title Pediatrics (Evanston)
container_volume 117
creator 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
description 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 (
doi_str_mv 10.1542/peds.2005-1063
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source EZB Electronic Journals Library
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
title Performance of a Decision Rule to Predict Need for Computed Tomography Among Children With Blunt Head Trauma
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