December 2015. Volume 11. Number 4

Una regla de decisión clínica podría disminuir estudios de imagen en niños con traumatismo craneal leve

 
 
 
 
 
 
 
 
 
 
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AVC | Critically appraised articles

Gravel J, Gouin S, Chalut D, Crevier L, Decarie JC, N. Elazhary N, et al. Derivation and validation of a clinical decision rule to identify young children with skull fracture following isolated head trauma. CMAJ. 2015;187:1202-8.
Reviewers: Pérez Gaxiola G1, Cuello García CA2.
1Hospital Pediátrico de Sinaloa. Culiacán. Sinaloa. México.
2ITESM. Monterrey. Nuevo León. México.
Correspondence: Giordano Pérez Gaxiola. Email: giordanopg@gmail.com
Reception date: 09/11/2015
Acceptance date: 17/11/2015
Publication date: 02/12/2015

Abstract

Authors' conclusion: the clinical decision rule identified 90% of fractures and would reduce the number of imaging studies by 60%.

Reviewers' commentary: this simple clinical decision rule, which includes two easy to identify factors in children with mild head trauma, could reduce imaging studies, but its clinical impact should be first researched.

Key words: craneocerebral trauma, clinical decision rule; diagnosis.

How to cite this article

Pérez Gaxiola G, Cuello García CA. Una regla de decisión clínica podría disminuir estudios de imagen en niños con traumatismo craneal leve. Evid Pediatr. 2015;11:56.

AVC | Critically appraised articles

Gravel J, Gouin S, Chalut D, Crevier L, Decarie JC, N. Elazhary N, et al. Derivation and validation of a clinical decision rule to identify young children with skull fracture following isolated head trauma. CMAJ. 2015;187:1202-8.
Reviewers: Pérez Gaxiola G1, Cuello García CA2.
1Hospital Pediátrico de Sinaloa. Culiacán. Sinaloa. México.
2ITESM. Monterrey. Nuevo León. México.
Correspondence: Giordano Pérez Gaxiola. Email: giordanopg@gmail.com
Reception date: 09/11/2015
Acceptance date: 17/11/2015
Publication date: 02/12/2015

How to cite this article

Pérez Gaxiola G, Cuello García CA. Una regla de decisión clínica podría disminuir estudios de imagen en niños con traumatismo craneal leve. Evid Pediatr. 2015;11:56.

References

  1. Maguire JL, Boutis K, Uleryk EM, Laupacis A, Parkin PC. Should a head-injured child receive a head CT scan? A systematic review of clinical prediction rules. Pediatrics. 2009;124:e145-54.
  2. Lyttle MD, Crowe L, Oakley E, Dunning J, Babl FE. Comparing CATCH, CHALICE and PECARN clinical decision rules for paediatric head injuries. Emerg Med J. 2012;29:785-94.
  3. Easter JS, Bakes K, Dhaliwal J, Miller M, Caruso E, Haukoos JS. Comparison of PECARN, CATCH, and CHALICE rules for children with minor head injury: a prospective cohort study. Ann Emerg Med. 2014;64:145-52.
  4. Lyttle MD, Cheek JA, Blackburn C, Oakley E, Ward B, Fry A, et al. Applicability of the CATCH, CHALICE and PECARN paediatric head injury clinical decision rules: pilot data from a single Australian centre. Emerg Med J. 2013;30:790-4.
02/12/2015

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