Pediatr Emerg Med J.  2019 Jun;6(1):31-33. 10.22470/pemj.2019.00024.

What are the head computed tomography scan rates in children presenting with headache to an Australian community teaching hospital emergency department?

Affiliations
  • 1Joseph Epstein Centre for Emergency Medicine Research, Western Health, Melbourne, Victoria, Australia. anne-maree.kelly@wh.org.au
  • 2Department of Emergency Medicine, Sunshine Hospital, Victoria, Australia.
  • 3Department of Pediatrics, Faculty of Medicine, Dentistry and Health Sciences, University of Melbourne, Victoria, Australia.
  • 4School of Medicine-Western Clinical School, The University of Melbourne, Melbourne, Victoria, Australia.

Abstract

We aimed to determine head computed tomography (CT) scan rate in the children presenting with non-traumatic headache who visited an Australian community teaching hospital emergency department. This was a planned substudy of an investigation of the epidemiology of headache in children presenting to the emergency department. A total of 225 children were studied; 6 underwent CT scan (CT scan rate, 2.7%; 95% confidence interval, 1.2-5.7). No intracranial pathology was identified. The rate was much lower than previously reported. The optimal CT scan rate for children presenting with headache remains unclear and is worthy of further research.

Keyword

Child; Diagnostic Imaging; Emergencies; Headache; Tomography, X-Ray Computed

MeSH Terms

Child*
Diagnostic Imaging
Emergencies*
Emergency Service, Hospital*
Epidemiology
Head*
Headache*
Hospitals, Teaching*
Humans
Pathology
Tomography, X-Ray Computed
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