Computed Tomography Scans in Children With Hemophilia After Minor Head Trauma

Managing the anxiety of the parents of pediatric patients with head trauma is challenging. This study aimed to examine the factors that affect anxiety levels of parents whose children were admitted to the emergency department with minor head trauma. In this prospective study, the parents of 663 consecutive pediatric patients were invited to answer a questionnaire. Parents of 600 children participated in the study. The parents who believed they were provided sufficient information and who were satisfied with the service received had significantly more improvement in anxiety-related questions. Cranial X-ray assessment had a significantly positive impact on the anxiety of the parents, whereas cranial computed tomography and neurosurgery consultation did not. In assessing pediatric minor head trauma, cranial computed tomography imaging and neurosurgery consultation should not be expected to relieve the anxiety of the parents. However, adequately informing them and providing satisfaction are the factors that could lead to improvement.

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Incidental findings in brain computed tomography scans of 3000 head trauma patients

Surgical Neurology ◽

10.1016/j.surneu.2004.07.049 ◽

2005 ◽

Vol 63 (6) ◽

pp. 550-553 ◽

Cited By ~ 113

Author(s):

Hossein Eskandary ◽

Mohammad Sabba ◽

Foruzandeh Khajehpour ◽

Mohammad Eskandari

Keyword(s):

Computed Tomography ◽

Head Trauma ◽

Incidental Findings ◽

Trauma Patients ◽

Brain Computed Tomography ◽

Computed Tomography Scans

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Can a CT be Omitted in Pediatric Minor Head Trauma?

Journal of Pediatric Neurology ◽

10.1055/s-0037-1604420 ◽

2017 ◽

Vol 16 (01) ◽

pp. 001-007

Author(s):

Maria Sinzig ◽

Eveline Achatz ◽

Günter Fasching ◽

Christoph Arneitz

Keyword(s):

Computed Tomography ◽

Ct Scan ◽

Radiation Exposure ◽

Head Trauma ◽

Neurological Status ◽

Ct Scans ◽

Minor Head Trauma ◽

Pediatric Ct ◽

Ct Protocol ◽

In Infants And Children

AbstractThis study aimed to evaluate the need for radiation exposure in pediatric minor head trauma. Symptomatic patients after minor head trauma were observed for at least 24 hours in a 13-month period. A computed tomography (CT) scan was performed on children with a depressed neurological status. Two hundred fourteen patients with a mean age of 9.3 years were included. An intracranial hemorrhage (ICH) was diagnosed in three (1.4%) patients. The overall CT rate was 10.7%. The study concluded that neuro-observation without initial CT scans is safe in infants and children following minor head trauma. Special pediatric CT protocol can limit radiation exposure.

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292 Computed Tomography Scans in Pediatric Head Trauma: Correlation With Emergency Department Length of Stay

Annals of Emergency Medicine ◽

10.1016/j.annemergmed.2014.07.319 ◽

2014 ◽

Vol 64 (4) ◽

pp. S103-S104

Author(s):

E. Martin ◽

S. Baqai ◽

S. Chan

Keyword(s):

Computed Tomography ◽

Emergency Department ◽

Length Of Stay ◽

Head Trauma ◽

Pediatric Head Trauma ◽

Computed Tomography Scans

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Minor head trauma and linear skull fracture in infants: cranial ultrasound or computed tomography?

European Journal of Emergency Medicine ◽

10.1097/mej.0b013e328321b7b5 ◽

2009 ◽

Vol 16 (3) ◽

pp. 150-152 ◽

Cited By ~ 14

Author(s):

Victoria Trenchs ◽

Ana I. Curcoy ◽

Marta Castillo ◽

Josep Badosa ◽

Carles Luaces ◽

...

Keyword(s):

Computed Tomography ◽

Head Trauma ◽

Skull Fracture ◽

Cranial Ultrasound ◽

Minor Head Trauma

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Timing of presentation and correlation with computed tomography in pediatric patients with minor head trauma

International Journal of Contemporary Pediatrics ◽

10.18203/2349-3291.ijcp20184256 ◽

2018 ◽

Vol 5 (6) ◽

pp. 2038

Author(s):

Karthick Jayapal ◽

Hassan Adnan Mansour

Keyword(s):

Computed Tomography ◽

Head Trauma ◽

Cross Sectional Study ◽

Minor Head Trauma ◽

Cross Sectional ◽

Increased Risk ◽

Key Factor ◽

History Of ◽

Study Participants ◽

Type Of Injury

Background: The presentation of minor head trauma warrants immediate and accurate diagnosis for early clinical management among children. Computed Tomography is the gold standard tool for the diagnosis of Traumatic Brain Injury (TBI) among the children. The timing of presentation may have a significant role in predicting the incidence of TBI. This study was done to compare the CT findings among children who presented within and after 24 hours with minor head trauma.Methods: This cross-sectional study was carried out among 992 children between 2-15 years reporting with a history of head injury. All the participants were clinically examined, and relevant history of type of injury and timing of presentation was recorded. CT scan was taken as per PECARN criteria. Data was entered and analysed using SPSS ver 15 software.Results: Majority of the participants belonged to 6-10 years of age (45.2%) and were males (58.5%). About 81.7% of the participants presented within 24 hours. The overall prevalence of TBI among the study participants was 58.6% [55.5-61.6].It was observed that hematoma predominantly presented after 24 hours (74.2%) and majority of the falls presented after 24 hours (92.8%).Patients who presented after 24 hours were at increased risk of presenting as TBI (67.03%) compared to those presenting within 24 hours (56.8%;p<0.05).Conclusions: This study has emphasized the need for including the timing of presentation as a key factor for facilitating early diagnosis and rapid case management of pediatric head trauma.

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Hyperglycemia in pediatric head trauma patients: a cross-sectional study

Arquivos de Neuro-Psiquiatria ◽

10.1590/s0004-282x2009000500004 ◽

2009 ◽

Vol 67 (3b) ◽

pp. 804-806 ◽

Cited By ~ 3

Author(s):

José Roberto Tude Melo ◽

Rodolfo Casimiro Reis ◽

Laudenor Pereira Lemos-Júnior ◽

Henrique Miguel Santos Coelho ◽

Carlos Eduardo Romeu de Almeida ◽

...

Keyword(s):

Computed Tomography ◽

Head Trauma ◽

Cross Sectional Study ◽

Cranial Computed Tomography ◽

Trauma Patients ◽

Severe Head Trauma ◽

Sectional Study ◽

Cross Sectional ◽

Glucose Levels ◽

Computed Tomography Scans

OBJECTIVE: To verify the prevalence of acute hyperglycemia in children with head trauma stratified by the Glasgow coma scale (GCS). METHOD: A prospective cross-sectional study carried out with information from medical records of pediatric patients presenting with head injury in the emergency room of a referral emergency hospital during a one year period. We considered the cut-off value of 150 mg/dL to define hyperglycemia. RESULTS: A total of 340 children were included and 60 (17.6%) had admission hyperglycemia. Hyperglycemia was present in 9% of mild head trauma cases; 30.4% of those with moderate head trauma and 49% of severe head trauma. We observed that among children with higher blood glucose levels, 85% had abnormal findings on cranial computed tomography scans. CONCLUSION: Hyperglycemia was more prevalent in patients with severe head trauma (GCS <8), regardless if they had or not multiple traumas and in children with abnormal findings on head computed tomography scans.

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