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.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한응급의학회 Clinical and Experimental Emergency Medicine Clinical and Experimental Emergency Medicine Vol.8 No.3
- 발행연도
- 2021.9
- 수록면
- 182 - 191 (10page)
- DOI
- https://doi.org/10.15441/ceem.20.123
이용수
초록· 키워드
오류제보하기
Objective Among the pediatric population with minor head trauma, it is difficult to determine an indication for the usage of brain computerized tomography (CT). Our study aims to compare the efficiency of the most commonly used clinical decision rules: the Pediatric Emergency Care Applied Research Network (PECARN) and Canadian Assessment of Tomography for Childhood Head Injury 2 (CATCH2). Methods This retrospective study investigated whether the PECARN and CATCH2 rules were applicable to Korean children with minor head trauma for reducing the use of brain CT imaging, while detecting intracranial pathology. Results Overall, 251 patients (0?5 years old) admitted to emergency rooms within 24 hours of injury were included between August 2015 to August 2018. The performance results are as follows: the PECARN and CATCH2 rules had a sensitivity of 80.00% (51.91%?95.67%) and 100% (78.20%?100.00%) with a specificity of 28.39% (22.73%?34.60%) and 15.25% (10.92%?20.49%), respectively; the negative predictive values were 98.58% and 100%, respectively. Overall, the CATCH2 rule was more successful than the PECARN rule in detecting intracranial pathology; however, there was no significant difference between them. Furthermore, the PECARN and CATCH2 rules lowered the rate of head CT imaging in our study group. Conclusion Both the rules significantly lowered the rate of indicated brain CT. However, since the CATCH2 rule had higher sensitivity and negative predictive value than the PECARN rule, it is more appropriate to be used in emergency rooms for detecting intracranial pathology in children with minor head trauma.
목차
등록된 정보가 없습니다.
참고문헌 (20)
참고문헌 신청
Burstein B / 2018 / Use of CT for head trauma : 2007-2015 / Pediatrics 142:e20180814
Stiell I / 2000 / Obtaining consensus for the definition of"clinically important"brain injury in the CCC Study / Acad Emerg Med 7:572
Korea Centers for Disease Control and Prevention / 2016 / Statistics of type of injury and cause
오혜연 / 2012 / Trends of CT Use in the Pediatric Emergency Department in a Tertiary Academic Hospital of Korea during 2001-2010 / Korean Journal of Radiology 13(6):771~775
Brenner DJ / 2007 / Computed tomography : an increasing source of radiation exposure / N Engl J Med 357:2277~2284
Stiell I / 2000 / Obtaining consensus for the definition of"clinically important"brain injury in the CCC Study / Acad Emerg Med 7:572
Korea Centers for Disease Control and Prevention / 2016 / Statistics of type of injury and cause
오혜연 / 2012 / Trends of CT Use in the Pediatric Emergency Department in a Tertiary Academic Hospital of Korea during 2001-2010 / Korean Journal of Radiology 13(6):771~775
Brenner DJ / 2007 / Computed tomography : an increasing source of radiation exposure / N Engl J Med 357:2277~2284
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