Predicting factors for abnormal brain computed tomography in children with minor head trauma

Abstract Background Deciding whether a cranial Computed Tomography (CT) scan in a patient with minor head trauma (MHT) is necessary or not has always been challenging. Diagnosing Traumatic Brain Injury (TBI) is a fundamental part of MHT managing especially in children who are more vulnerable in term...

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Autores principales:	Taraneh Naghibi, Mina Rostami, Behrad Jamali, Zhaleh Karimimoghaddam, Alireza Zeraatchi, Asghar Jafari Rouhi
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Minor head trauma Children Traumatic brain injury Brain computed tomography scan Special situations and conditions RC952-1245 Medical emergencies. Critical care. Intensive care. First aid RC86-88.9
Acceso en línea:	https://doaj.org/article/14bddd56e35340f895779c4b423f41b0
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spelling	oai:doaj.org-article:14bddd56e35340f895779c4b423f41b02021-11-21T12:14:41ZPredicting factors for abnormal brain computed tomography in children with minor head trauma10.1186/s12873-021-00540-11471-227Xhttps://doaj.org/article/14bddd56e35340f895779c4b423f41b02021-11-01T00:00:00Zhttps://doi.org/10.1186/s12873-021-00540-1https://doaj.org/toc/1471-227XAbstract Background Deciding whether a cranial Computed Tomography (CT) scan in a patient with minor head trauma (MHT) is necessary or not has always been challenging. Diagnosing Traumatic Brain Injury (TBI) is a fundamental part of MHT managing especially in children who are more vulnerable in terms of brain CT radiation consequences and TBI. Defining some indications to timely and efficiently predict the likelihood of TBI is necessary. Thus, we aimed to determine the impact of clinical findings to predict the need for brain CT in children with MHT. Methods In a prospective cohort study, 200 children (2 to 14 years) with MHT were included from 2019 to 2020. The data of MHT-related clinical findings were gathered. The primary and secondary outcomes were defined as a positive brain CT and any TBI requiring neurosurgery intervention, respectively. In statistical analysis, we performed Binary Logistic regression analysis, Fisher’s exact test and independent samples t-test using SPSS V.26. Results The mean age of participants was 6.5 ± 3.06 years. Ninety patients underwent brain CT. The most common clinical finding and injury mechanism were headache and falling from height, respectively. The results of brain CTs were positive in seven patients (3.5%). We identified three predicting factors for an abnormal brain CT including headache, decreased level of consciousness, and vomiting. Conclusion We showed that repetitive vomiting (≥2), headache, and decreased level of consciousness are predicting factors for an abnormal brain CT in children with MHT.Taraneh NaghibiMina RostamiBehrad JamaliZhaleh KarimimoghaddamAlireza ZeraatchiAsghar Jafari RouhiBMCarticleMinor head traumaChildrenTraumatic brain injuryBrain computed tomography scanSpecial situations and conditionsRC952-1245Medical emergencies. Critical care. Intensive care. First aidRC86-88.9ENBMC Emergency Medicine, Vol 21, Iss 1, Pp 1-8 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Minor head trauma Children Traumatic brain injury Brain computed tomography scan Special situations and conditions RC952-1245 Medical emergencies. Critical care. Intensive care. First aid RC86-88.9
spellingShingle	Minor head trauma Children Traumatic brain injury Brain computed tomography scan Special situations and conditions RC952-1245 Medical emergencies. Critical care. Intensive care. First aid RC86-88.9 Taraneh Naghibi Mina Rostami Behrad Jamali Zhaleh Karimimoghaddam Alireza Zeraatchi Asghar Jafari Rouhi Predicting factors for abnormal brain computed tomography in children with minor head trauma
description	Abstract Background Deciding whether a cranial Computed Tomography (CT) scan in a patient with minor head trauma (MHT) is necessary or not has always been challenging. Diagnosing Traumatic Brain Injury (TBI) is a fundamental part of MHT managing especially in children who are more vulnerable in terms of brain CT radiation consequences and TBI. Defining some indications to timely and efficiently predict the likelihood of TBI is necessary. Thus, we aimed to determine the impact of clinical findings to predict the need for brain CT in children with MHT. Methods In a prospective cohort study, 200 children (2 to 14 years) with MHT were included from 2019 to 2020. The data of MHT-related clinical findings were gathered. The primary and secondary outcomes were defined as a positive brain CT and any TBI requiring neurosurgery intervention, respectively. In statistical analysis, we performed Binary Logistic regression analysis, Fisher’s exact test and independent samples t-test using SPSS V.26. Results The mean age of participants was 6.5 ± 3.06 years. Ninety patients underwent brain CT. The most common clinical finding and injury mechanism were headache and falling from height, respectively. The results of brain CTs were positive in seven patients (3.5%). We identified three predicting factors for an abnormal brain CT including headache, decreased level of consciousness, and vomiting. Conclusion We showed that repetitive vomiting (≥2), headache, and decreased level of consciousness are predicting factors for an abnormal brain CT in children with MHT.
format	article
author	Taraneh Naghibi Mina Rostami Behrad Jamali Zhaleh Karimimoghaddam Alireza Zeraatchi Asghar Jafari Rouhi
author_facet	Taraneh Naghibi Mina Rostami Behrad Jamali Zhaleh Karimimoghaddam Alireza Zeraatchi Asghar Jafari Rouhi
author_sort	Taraneh Naghibi
title	Predicting factors for abnormal brain computed tomography in children with minor head trauma
title_short	Predicting factors for abnormal brain computed tomography in children with minor head trauma
title_full	Predicting factors for abnormal brain computed tomography in children with minor head trauma
title_fullStr	Predicting factors for abnormal brain computed tomography in children with minor head trauma
title_full_unstemmed	Predicting factors for abnormal brain computed tomography in children with minor head trauma
title_sort	predicting factors for abnormal brain computed tomography in children with minor head trauma
publisher	BMC
publishDate	2021
url	https://doaj.org/article/14bddd56e35340f895779c4b423f41b0
work_keys_str_mv	AT taranehnaghibi predictingfactorsforabnormalbraincomputedtomographyinchildrenwithminorheadtrauma AT minarostami predictingfactorsforabnormalbraincomputedtomographyinchildrenwithminorheadtrauma AT behradjamali predictingfactorsforabnormalbraincomputedtomographyinchildrenwithminorheadtrauma AT zhalehkarimimoghaddam predictingfactorsforabnormalbraincomputedtomographyinchildrenwithminorheadtrauma AT alirezazeraatchi predictingfactorsforabnormalbraincomputedtomographyinchildrenwithminorheadtrauma AT asgharjafarirouhi predictingfactorsforabnormalbraincomputedtomographyinchildrenwithminorheadtrauma
_version_	1718419108989501440

Predicting factors for abnormal brain computed tomography in children with minor head trauma

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