Document Detail

Poor prediction of positive computed tomographic scans by clinical criteria in symptomatic pediatric head trauma.
MedLine Citation:
PMID:  3658578     Owner:  NLM     Status:  MEDLINE    
A retrospective study of 98 children who received CT scanning for head trauma was conducted to determine whether clinical signs would accurately identify patients needing CT scans. The clinical findings of Glasgow Coma Scale score of 12 or less, altered consciousness on admission, and focal abnormalities on neurologic examination were each significantly associated with abnormal findings on CT scans (P less than .01). However, 31% of the 51 patients with Glasgow Coma Scale scores greater than 12 had abnormal CT scan findings. No clinical findings, alone or in combination, accurately identified all patients with abnormal findings on CT scans.
F Rivara; D Tanaguchi; R A Parish; G K Stimac; B Mueller
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Pediatrics     Volume:  80     ISSN:  0031-4005     ISO Abbreviation:  Pediatrics     Publication Date:  1987 Oct 
Date Detail:
Created Date:  1987-11-02     Completed Date:  1987-11-02     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0376422     Medline TA:  Pediatrics     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  579-84     Citation Subset:  AIM; IM    
Department of Pediatrics, University of Washington, Seattle.
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MeSH Terms
Brain Injuries / physiopathology,  radiography
Child, Preschool
Coma / physiopathology
Craniocerebral Trauma / physiopathology,  radiography*
Neurologic Examination
Predictive Value of Tests
Retrospective Studies
Tomography, X-Ray Computed*

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