Variability in the management and imaging use in paediatric minor head trauma in European emergency departments. A Research in European Pediatric Emergency Medicine study

Roberto Velasco*, Carmel M. Moore, Samir Deiratany, Federica D'Elia, Laetitia Bertrand Tourteau, Chiara Zuiani, Zsolt Bognar, Katalin Erdelyi, Balazs Fadgyas, Marianna Fejes, Ozlem Teksam, Yalçin Mirzeyev, Pelin Esmeray, Santiago M. Fernández, Amaia Ricondo, Liviana Da Dalt, Silvia Bressan, Elena Priante, Eveline Snoeck, Merel BroersCoriene E. Castman-Berrevoets, Ricardo M. Fernandes, Joana Borges, Anaida Obieta, Maider Alcalde, Sergio Piñol, Javier González, Annachiara Azzali, Daniela Gioè, Luisa La Spina, Martina Bianconi, Marta Arribas, Niccolò Parri

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

2 Citations (Scopus)

Abstract

Objective The objective of the study was to assess the variability in the management of paediatric MHT in European emergency departments (EDs). Methods This was a multicentre retrospective study of children ≤18 years old with minor head trauma (MHT) (Glasgow Coma Scale ≥14) who presented to 15 European EDs between 1 January 2013 and 31 December 31. Data on clinical characteristics, imaging tests, and disposition of included patients were collected at each hospital over a 3-year period. Results We included 11 212 patients. Skull radiography was performed in 3416 (30.5%) patients, range 0.4-92.3%. A computed tomography (CT) was obtained in 696 (6.2%) patients, range 1.6-42.8%. The rate of admission varied from 0 to 48.2%. Conclusion We found great variability in terms of the type of imaging and rate of CT scan obtained. Our study suggests opportunity for improvement in the area of paediatric head injury and the need for targeted individualised ED interventions to improve management of MHT.

Original languageEnglish
Pages (from-to)196-201
Number of pages6
JournalEuropean Journal of Emergency Medicine
Volume28
Issue number3
DOIs
Publication statusPublished - 1 Jun 2021

Bibliographical note

Acknowledgements
We gratefully acknowledge the Research in European Pediatric Emergency Medicine (REPEM) Network for supporting this project, Santiago Mintegi from the
Cruces University Hospital, Biocruces Health Research Institute, Bilbao, Spain, for his advice and contribution to this study. We also acknowledge Dr. Giulio Andreatta
for his support and assistance with data collection at the Emergency Department of Padova, Italy

Publisher Copyright: © 2021 Lippincott Williams and Wilkins. All rights reserved.

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