ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2017
Pediatric Emergency Care Applied Research Network (PECARN) prediction rules in identifying high risk children with mild traumatic brain injury.
Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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15 citing papers in PubMed.
- Large Language Model Decision Support for Cranial CT in Pediatric Head Trauma.Diagnostics (Basel, Switzerland) · 2026Article
- Evaluation of optic nerve sheath diameter measurements in postictal pediatric patients.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2024Article
- PECARN prediction rules for CT imaging of children presenting to the emergency department with blunt abdominal or minor head trauma: a multicentre prospective validation study.The Lancet. Child & adolescent health · 2024Article
- The role of sonographic optic nerve sheath diameter measurements in pediatric head trauma.Journal of ultrasound · 2022Article
- Paediatric minor head injury applied to Paediatric Emergency Care Applied Research Network CT recommendations: An audit.SA journal of radiology · 2022Article
- The Value of Physiological Scoring Criteria in Predicting the In-Hospital Mortality of Acute Patients; a Systematic Review and Meta-Analysis.Archives of academic emergency medicine · 2021Review
- Accuracy of Canadian CT Head Rule and New Orleans Criteria for Minor Head Trauma; a Systematic Review and Meta-Analysis.Archives of academic emergency medicine · 2020Review
- Grading and assessment of clinical predictive tools for paediatric head injury: a new evidence-based approach.BMC emergency medicine · 2019Review
- Comparison of minor head trauma management in the emergency departments of a United States and Italian Children's hospital.Italian journal of pediatrics · 2019Article
- Using an artificial neural network to predict traumatic brain injury.Journal of neurosurgery. Pediatrics · 2019Article
- Ubiquitin C-Terminal Hydrolase-L1 (UCH-L1) in Prediction of Computed Tomography Findings in Traumatic Brain Injury; a Meta-Analysis.Emergency (Tehran, Iran) · 2018Review
- Value of Manchester Acute Coronary Syndromes Decision Rule in the Detection of Acute Coronary Syndrome; a Systematic Review and Meta-Analysis.Emergency (Tehran, Iran) · 2018Review
- Glasgow Coma Scale and FOUR Score in Predicting the Mortality of Trauma Patients; a Diagnostic Accuracy Study.Emergency (Tehran, Iran) · 2018Article
- Focus on traumatic brain injury.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2017Article
- Observational
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6 authors.
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Abstract
purposePediatric Emergency Care Applied Research Network (PECARN) traumatic brain injury (TBI) prognostic rules is a scoring system for prediction of the need for computed tomography (CT) scanning in children with mild TBI. However, its validation has not been assessed in developing countries. Therefore, the present study was designed to assess the value of PECARN rule in identification of children with clinically important TBI (ciTBI).
methodIn this prospective cross-sectional study, 594 children (mean age: 7.9 ± 5.3 years; 79.3% boys) with mild TBI brought to emergency ward of two healthcare centers in Tehran, Iran were assessed. PECARN checklist was filled for all patients and children were divided to three groups of low, intermediate and high risks. Patients were followed for 2 weeks by phone to assess their ciTBI status. At the end, discrimination power, calibration and overall performance of PECARN rule were assessed.
resultsPECARN had a sensitivity and specificity of 92.3 and 40.6%, respectively, in predicting ciTBI in children under 2 years and 100.0 and 57.8%, respectively, in individuals between the ages of 2 and 18. PECARN rule had a proper calibration in prediction of ciTBI and CT scan findings. Brier score (overall performance) of PECARN rule in predicting ciTBI in children under 2 and 2-18 years were 1.5 and 1.2, respectively.
conclusionPECARN prediction rule has a proper validity in the prediction of ciTBI. Therefor it can be used for screening and identification of high risk children with mild TBI.
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