ArticleChild's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery2021
Missed intracranial injuries are rare in emergency departments using the PECARN head injury decision rules.
Article in Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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7 citing papers in PubMed, 12 citations in OpenAlex.
- Clinical Profile of Neurosurgical Consultations from the Emergency Department : A Retrospective Analysis.Journal of Korean Neurosurgical Society · 2026Article
- Article
- Reduced hospitalisations for paediatric mild traumatic brain injury: a nationwide observational study.BMJ paediatrics open · 2025Observational
- Clinical characteristics associated with pediatric traumatic intracranial hemorrhage.Chinese journal of traumatology = Zhonghua chuang shang za zhi · 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 Clinical Utility of the Child SCAT5 for Acute Concussion Assessment.Sports medicine - open · 2022Article
- Observational
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Authors and funding
6 authors at 3 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe PECARN head trauma (HT) prediction rules have been developed to guide computed tomography-related decision-making for children with minor HT (mHT). There are currently limited data on the rate of unscheduled revisits to emergency departments (EDs), and initially missed intracranial injuries, in children with mHT initially assessed using the PECARN rules. This study aimed to fill this gap in knowledge.
methodsClinical charts of children assessed for mHT over a 5-year period at two EDs that implemented the PECARN rules in Italy and France were reviewed retrospectively. Children who returned to EDs for mHT-related, or potentially related complaints, within 1 month of initial assessment were included.
resultsThe total number of children with mHT presenting for the first time to the EDs of both sites was 11,749. Overall, 180 (1.5%) unscheduled revisits to the EDs occurred for mHT-related or potentially related complaints. Twenty-three of these 180 patients underwent neuroimaging, and seven had an intracranial injury (including one ischemic stroke). Of these, three were hospitalized and none needed neurosurgery or intensive care.
conclusionUnscheduled revisits for mHT in EDs using the PECARN rules were very uncommon. Initially missed intracranial injuries were rare, and none needed neurosurgery or intensive care.
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