Pediatr Emerg Med J.  2022 Jun;9(1):1-9. 10.22470/pemj.2022.00437.

Risk stratification of intermediate-risk children with minor head injury: a secondary publication translated into Korean

Affiliations
  • 1Department of Emergency Medicine, Ajou University School of Medicine, Suwon, Republic of Korea

Abstract

The Pediatric Emergency Care Applied Research Network rule helps emergency physicians identify very low-risk children with minor head injury who can forgo head computed tomography. This rule contributes to reducing lifetime risk of radiation-induced cancers while minimizing missing clinically important traumatic brain injury. However, in intermediate-risk children, decisions on whether to perform computed tomography remain at the emergency physicians' discretion. To reduce this gray zone, this review summarizes evidence for risk stratification of intermediate-risk children with minor head injury.

Keyword

Craniocerebral Trauma; Decision Support Techniques; Multidetector Computed Tomography; Neoplasms, Radiation-Induced; Radiation, Ionizing; Risk Assessment

Figure

  • Fig. 1. An algorithm for risk stratification of intermediate-risk children with minor head injury. *Ongoing parental concern after education on the risk and benefit of CT. †Manifestations that are concerned but not included in the PECARN rule (e.g., vomiting in an infant). ‡See details in Table 5. PECARN: Pediatric Emergency Care Applied Research Network, ciTBI: clinically important traumatic brain injury, CT: computed tomography, ED: emergency department.


Reference

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