| Cautious observation or blanket scanning? An investigation into paediatric attendances to an emergency department after head injury. | |
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MedLine Citation:
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PMID: 20599195 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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In September 2007, the National Institute for Health and Clinical Excellence (NICE) in the UK issued a newly updated guideline (CG56) on the early care of adults and children with head injuries.(8) The guideline gives some new recommendations, in particular with regards to imaging of children with head injury. We undertook a study to investigate the management of children presenting with head injury to our emergency department and to assess their outcomes and the CT scanning rate. We then retrospectively applied the new NICE guidelines, using information documented in the case notes, to establish whether adherence to the guidelines would significantly affect CT scanning rates. 237 paediatric head injury cases were seen over the 2-month period that was studied. The actual CT scanning rate observed was 2.1%, rising to 18.1% after strictly applying NICE criteria. This increased scanning rate raises some important issues with regards to patient safety and service provision. |
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Authors:
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R R Elliot; Y Sola Gutierrez; R Harrison; R Richards; B Cannon; F Witham |
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Publication Detail:
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Type: Journal Article Date: 2010-07-05 |
Journal Detail:
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Title: Injury Volume: 42 ISSN: 1879-0267 ISO Abbreviation: Injury Publication Date: 2011 Sep |
Date Detail:
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Created Date: 2011-10-10 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0226040 Medline TA: Injury Country: Netherlands |
Other Details:
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Languages: eng Pagination: 896-9 Citation Subset: IM |
Copyright Information:
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Copyright © 2010 Elsevier Ltd. All rights reserved. |
Affiliation:
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Department of Trauma and Orthopaedics, Queen Alexandra Hospital, Portsmouth, UK. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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