Evidence map›Paper›PMID 33118087›Full record

ArticleEuropean journal of pediatrics2021

Diagnosing skull fracture in children with closed head injury using point-of-care ultrasound vs. computed tomography scan.

Afsaneh Dehbozorgi, Razieh Sadat Mousavi-Roknabadi, Seyed Rouhollah Hosseini-Marvast, Mehrdad Sharifi, Robab Sadegh, Faramarz Farahmand, Fatemeh Damghani

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In one paragraph

Article in European journal of pediatrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
1.0field-weighted citation impact, top 21% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 22 citations in OpenAlex.

  1. Pooled it
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  11. Point-of-care ultrasound for children.Journal of medical ultrasonics (2001) · 2022
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Afsaneh DehbozorgiEmergency Medicine Department, Faculty of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.
Razieh Sadat Mousavi-RoknabadiEmergency Medicine Department, Faculty of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.
Seyed Rouhollah Hosseini-MarvastEmergency Medicine Department, Faculty of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran. hoseinimr@sums.ac.ir.
Mehrdad SharifiEmergency Medicine Department, Faculty of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.
Robab SadeghEmergency Medicine Department, Faculty of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.
Faramarz FarahmandEmergency Medicine Department, Faculty of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.
Fatemeh DamghaniEmergency Medicine Department, Faculty of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.
Shiraz University of Medical Sciences · IR

Funding

Shiraz University of Medical Sciences 10718
6 · The paper itself

Abstract

Diagnostic and therapeutic interventions in children for traumatic brain injury, which is known as the most important complication in trauma, require special attention. This study aimed to evaluate the accuracy of point-of-care ultrasound (POCUS) in diagnosing skull fracture in children with closed head injury in comparison with computed tomography (CT) scan. The current prospective cross-sectional study was conducted on children (0-14 years old), who were referred to the emergency department of a general teaching hospital in Shiraz, southern Iran (January-March 2018), with close head injury and were suspected of bone fracture. The participants were selected using a convenience sampling. The results of POCUS performed by emergency medicine (EM) residents were compared with the results of CT scan, which was reported by radiologists and considered a gold standard. Then, diagnostic tests were calculated. A total of 168 children were enrolled, with the mean ± standard deviation age of 6.21 ± 3.99. The most affected areas in the skull were the frontal (34.5%) and occipital areas (33.3%). POCUS had a sensitivity and specificity of 81.8% (95%CI, 48.2-97.7%) and 100% (95%CI, 97.7-100%), respectively. Positive and negative predictive values were 100% and 98.7%, with an accuracy of 98.8% in comparison with CT scan in the diagnosis of skull fracture.Conclusion: The results showed that POCUS with a portable ultrasonography machine, performed by the EM's physicians, have high diagnostic precision and can be considered a tool in the management of patients with closed head injury. What is Known: • Some studies have investigated the accuracy of ultrasound in diagnosing skull bone fractures in children with closed head injury, but before conducting this survey, no definite evidence recommended POCUS for skull fracture in children with closed head trauma in the ED. What is New: • POCUS with a portable ultrasonography machine, performed by the EM's physicians, has high diagnostic precision and can be considered a tool in the management of patients with closed head injury.

Indexed as

Head Injuries, ClosedSkull FracturesAdolescentChildChild, PreschoolCross-Sectional StudiesEmergency Service, HospitalHumansInfantInfant, NewbornPoint-of-Care SystemsSensitivity and SpecificityTomography, X-Ray ComputedUltrasonographyClosed head injuryEmergency departmentSkull fractureTraumatic brain injuriesUltrasonography

Identifiers

PMID33118087
PMCPMC7594935
OpenAlexW3097351822

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.