ArticleArchives of academic emergency medicine2019
Point of Care Ultrasound in Detection of Brain Hemorrhage and Skull Fracture Following Pediatric Head Trauma; a Diagnostic Accuracy Study.
Article in Archives of academic emergency medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.
What it found
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 22 citations in OpenAlex.
- Diagnostic performance of point-of-care ultrasound for pediatric skull fractures: A systematic review and meta-analysis.The Journal of international medical research · 2026Pooled it
- Evidence base for point-of-care ultrasound (POCUS) for diagnosis of skull fractures in children: a systematic review and meta-analysis.Emergency medicine journal : EMJ · 2022Pooled it
- Diagnostic Accuracy of Ultrasonography for Identification of Skull Fracture in Children: A Systematic Review and Meta-analysis.Archives of academic emergency medicine · 2026Review
- Comparison of midline shift and ventricular size measured by transcranial ultrasound and non-contrast computed tomography in patients with acute subdural hemorrhage undergoing decompressive craniectomy: A prospective observational study.Surgical neurology international · 2025Article
- Point-of-care brain ultrasound and transcranial doppler or color-coded doppler in critically ill neonates and children.European journal of pediatrics · 2024Review
- Review
- Minor head trauma in infants - how accurate is cranial ultrasound performed by trained radiologists?European journal of pediatrics · 2023Observational
- Brain topography on adult ultrasound images: Techniques, interpretation, and image library.Journal of neuroimaging : official journal of the American Society of Neuroimaging · 2022Review
- Exploratory study to assess feasibility of intracerebral hemorrhage detection by point of care cranial ultrasound.The ultrasound journal · 2022Article
- Imaging of Bone in the Head and Neck Region, is There More Than CT?Current radiology reports · 2022Review
- Diagnosing skull fracture in children with closed head injury using point-of-care ultrasound vs. computed tomography scan.European journal of pediatrics · 2021Article
Corrections and comments
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Authors and funding
8 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionHead trauma is a common reason for emergency department visits worldwide; many of which involve young children. We sought to determine if head ultrasound (US), as a portable, fast and safe modality, can guide diagnosis and treatment of children in emergency settings.
methodsIn this cross-sectional study, brain computed tomography (CT) scan and emergency head US were performed on head trauma children who were referred to the emergency departments of Firouzgar and Besat Hospitals, Tehran, Iran, from September 2018 to May 2019. The findings of the two modalities were separately evaluated, and used to estimate the diagnostic accuracy of US.
results538 patients with the mean age of 5.6 ± 4.9 (0-18) years were studied (54.8% male). Sensitivity and specificity of bedside US in detection of hemorrhage were 85.71% (42.13%-99.64%) and 97.99% (94.23%-99.58%) for children below the age of 2. These measures were 80.00% (51.91%-95.67%) and 97.97% (94.88%-99.44%), respectively, for those between 2 and 6 years old and 46.67% (21.27%-73.41%) and 92.90% (87.66%-96.40%), respectively, for those above the age of 6. Sensitivity and specificity were 92.31% (84.01%-97.12%) and 95.87% (93.62%-97.50%), respectively, in diagnosing skull fractures. Cohen's kappa coefficient varied greatly for different findings, ranging from 0.363 to 0.825, indicating different agreement rates for each.
conclusionBased on our findings, emergency US can play a greater role in the initial management of head trauma children, especially as a triage test.
Indexed as
Identifiers
31875207PMC6905422W2979750314What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.