지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
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초록· 키워드
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Purpose: Head injury in children is a common problem presenting to emergency departments, and cranial computed tomography scan is the diagnostic standard for these patients. Several decision rules are used to determine whether computed tomography scans should be used; however, the use of computed tomography scans is often influenced by guardian favor toward the scans. The objective of this study was to identify changes in guardian favor for explanation of minor head injuries based on the institutional clinical practice guidelines. Methods: A survey was conducted between July 2010 and June 2012. Patients younger than 16 years with a Glasgow Coma Scale score of 15 after a head injury and guardians of these patients were included. Pre- and post-explanation questionnaires were administered to guardians to evaluate their favor for computed tomography scans and factors related to the degree of favor. Treating physicians explained the risks and benefits of cranial computed tomography scans using the institutional clinical practice guidelines. Guardian favor for a computed tomography (CT) scan was examined using a 100-mm visual analog scale. Results: A total of 208 patients and their guardians were included in this survey. Guardian favor for computed tomography scans was significantly reduced after explanation (46.7 vs. 17.4, p<0.01). Pre-explanation favor and the degree of physician recommending computed tomography were the most important factors affecting pre- and postexplanation changes in favor. Conclusion: Explanation of the risks and benefits of cranial computed tomography scans using the institutional clinical practice guidelines may significantly reduce guardian favor for computed tomography scans.
목차
등록된 정보가 없습니다.
참고문헌 (12)
참고문헌 신청
Tavarez MM / 2012 / Acute evaluation of pediatric patients with minor traumatic brain injury / Curr Opin Pediatr 24:307~313
Hennelly KE / 2013 / Pediatric traumatic brain injury and radiation risks : a clinical decision analysis / J Pediatr 162:392~397
Palchak MJ / 2003 / A decision rule for identifying children at low risk for brain injuries after blunt head trauma / Ann Emerg Med 42:492~506
Brenner DJ / 2007 / Computed tomography--an increasing source of radiation exposure / N Engl J Med 357:2277~2284
Sultan HY / 2004 / Application of the Canadian CT head rules in managing minor head injuries in a UK emergency department : implications for the implementation of the NICE guidelines / Emerg Med J 21:420~425
Hennelly KE / 2013 / Pediatric traumatic brain injury and radiation risks : a clinical decision analysis / J Pediatr 162:392~397
Palchak MJ / 2003 / A decision rule for identifying children at low risk for brain injuries after blunt head trauma / Ann Emerg Med 42:492~506
Brenner DJ / 2007 / Computed tomography--an increasing source of radiation exposure / N Engl J Med 357:2277~2284
Sultan HY / 2004 / Application of the Canadian CT head rules in managing minor head injuries in a UK emergency department : implications for the implementation of the NICE guidelines / Emerg Med J 21:420~425
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