Factors predictive for computed tomography use and abnormality in paediatric head injuries in Australia and New Zealand

Catherine L. Wilson; Stephen J. C. Hearps; Emma J. Tavender; Natalie T. Phillips; Ben Lawton; Frances Kinnear; Amie Beattie; Hugh Mitenko; Russell Young; Joanne Cole; Amit Kochar; Shane George; Stephen S. S. Teo; Thomas Georgeson; Adam Michael; Ashes Mukherjee; Alex King; Lalith Gamage; Peter Archer; Corey Cassidy; Arjun Rao; Deepali Thosar; Meredith L. Borland; Franz E. Babl

doi:10.1111/1742-6723.13694

Factors predictive for computed tomography use and abnormality in paediatric head injuries in Australia and New Zealand

Catherine L. Wilson
, Stephen J. C. Hearps
, Emma J. Tavender
, Natalie T. Phillips
, Ben Lawton
, Frances Kinnear
, Amie Beattie
, Hugh Mitenko
, Russell Young
, Joanne Cole
, Amit Kochar
, Shane George
, Stephen S. S. Teo
, Thomas Georgeson
, Adam Michael
, Ashes Mukherjee
, Alex King
, Lalith Gamage
, Peter Archer
, Corey Cassidy

Arjun Rao, Deepali Thosar, Meredith L. Borland, Franz E. Babl

Western Sydney University

Research output: Contribution to journal › Article › peer-review

Abstract

Objectives: To investigate patient-level factors predictive for computed tomography of the brain (CTB) use and abnormality in head injured children in Australia and New Zealand. Methods: Retrospective data from tertiary, urban/suburban and regional/ rural EDs including factors predictive for CTB use and abnormality. Results: Of 3072 children at 31 EDs, 212 (6.9%) had a CTB scan, of which 66 (31%) were abnormal. Increasing age, serious mechanisms of injury and decreasing Glasgow Coma Score were predictive for ordering CTB. Decreasing age was predictive for CTB abnormalities. Other factors were not. Conclusion: Patient-level drivers of CTB use in children in Australia and New Zealand are consistent with international data.

Original language	English
Pages (from-to)	157-160
Number of pages	4
Journal	Emergency Medicine Australasia
Volume	33
Issue number	1
DOIs	https://doi.org/10.1111/1742-6723.13694
Publication status	Published - Feb 2021

Bibliographical note

Publisher Copyright:
© 2020 Australasian College for Emergency Medicine

Keywords

brain
children
emergency medicine
pediatrics
tomography
wounds and injuries

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10.1111/1742-6723.13694

Cite this

Wilson, C. L., Hearps, S. J. C., Tavender, E. J., Phillips, N. T., Lawton, B., Kinnear, F., Beattie, A., Mitenko, H., Young, R., Cole, J., Kochar, A., George, S., Teo, S. S. S., Georgeson, T., Michael, A., Mukherjee, A., King, A., Gamage, L., Archer, P., ... Babl, F. E. (2021). Factors predictive for computed tomography use and abnormality in paediatric head injuries in Australia and New Zealand. Emergency Medicine Australasia, 33(1), 157-160. https://doi.org/10.1111/1742-6723.13694

@article{0baaac0e087945d48b7f9aed7a68855c,

title = "Factors predictive for computed tomography use and abnormality in paediatric head injuries in Australia and New Zealand",

abstract = "Objectives: To investigate patient-level factors predictive for computed tomography of the brain (CTB) use and abnormality in head injured children in Australia and New Zealand. Methods: Retrospective data from tertiary, urban/suburban and regional/ rural EDs including factors predictive for CTB use and abnormality. Results: Of 3072 children at 31 EDs, 212 (6.9\%) had a CTB scan, of which 66 (31\%) were abnormal. Increasing age, serious mechanisms of injury and decreasing Glasgow Coma Score were predictive for ordering CTB. Decreasing age was predictive for CTB abnormalities. Other factors were not. Conclusion: Patient-level drivers of CTB use in children in Australia and New Zealand are consistent with international data.",

keywords = "brain, children, emergency medicine, pediatrics, tomography, wounds and injuries",

author = "Wilson, \{Catherine L.\} and Hearps, \{Stephen J. C.\} and Tavender, \{Emma J.\} and Phillips, \{Natalie T.\} and Ben Lawton and Frances Kinnear and Amie Beattie and Hugh Mitenko and Russell Young and Joanne Cole and Amit Kochar and Shane George and Teo, \{Stephen S. S.\} and Thomas Georgeson and Adam Michael and Ashes Mukherjee and Alex King and Lalith Gamage and Peter Archer and Corey Cassidy and Arjun Rao and Deepali Thosar and Borland, \{Meredith L.\} and Babl, \{Franz E.\}",

note = "Publisher Copyright: {\textcopyright} 2020 Australasian College for Emergency Medicine",

year = "2021",

month = feb,

doi = "10.1111/1742-6723.13694",

language = "English",

volume = "33",

pages = "157--160",

journal = "Emergency Medicine Australasia",

issn = "1742-6731",

publisher = "John Wiley and Sons Inc",

number = "1",

}

Wilson, CL, Hearps, SJC, Tavender, EJ, Phillips, NT, Lawton, B, Kinnear, F, Beattie, A, Mitenko, H, Young, R, Cole, J, Kochar, A, George, S, Teo, SSS, Georgeson, T, Michael, A, Mukherjee, A, King, A, Gamage, L, Archer, P, Cassidy, C, Rao, A, Thosar, D, Borland, ML & Babl, FE 2021, 'Factors predictive for computed tomography use and abnormality in paediatric head injuries in Australia and New Zealand', Emergency Medicine Australasia, vol. 33, no. 1, pp. 157-160. https://doi.org/10.1111/1742-6723.13694

TY - JOUR

T1 - Factors predictive for computed tomography use and abnormality in paediatric head injuries in Australia and New Zealand

AU - Wilson, Catherine L.

AU - Hearps, Stephen J. C.

AU - Tavender, Emma J.

AU - Phillips, Natalie T.

AU - Lawton, Ben

AU - Kinnear, Frances

AU - Beattie, Amie

AU - Mitenko, Hugh

AU - Young, Russell

AU - Cole, Joanne

AU - Kochar, Amit

AU - George, Shane

AU - Teo, Stephen S. S.

AU - Georgeson, Thomas

AU - Michael, Adam

AU - Mukherjee, Ashes

AU - King, Alex

AU - Gamage, Lalith

AU - Archer, Peter

AU - Cassidy, Corey

AU - Rao, Arjun

AU - Thosar, Deepali

AU - Borland, Meredith L.

AU - Babl, Franz E.

PY - 2021/2

Y1 - 2021/2

N2 - Objectives: To investigate patient-level factors predictive for computed tomography of the brain (CTB) use and abnormality in head injured children in Australia and New Zealand. Methods: Retrospective data from tertiary, urban/suburban and regional/ rural EDs including factors predictive for CTB use and abnormality. Results: Of 3072 children at 31 EDs, 212 (6.9%) had a CTB scan, of which 66 (31%) were abnormal. Increasing age, serious mechanisms of injury and decreasing Glasgow Coma Score were predictive for ordering CTB. Decreasing age was predictive for CTB abnormalities. Other factors were not. Conclusion: Patient-level drivers of CTB use in children in Australia and New Zealand are consistent with international data.

AB - Objectives: To investigate patient-level factors predictive for computed tomography of the brain (CTB) use and abnormality in head injured children in Australia and New Zealand. Methods: Retrospective data from tertiary, urban/suburban and regional/ rural EDs including factors predictive for CTB use and abnormality. Results: Of 3072 children at 31 EDs, 212 (6.9%) had a CTB scan, of which 66 (31%) were abnormal. Increasing age, serious mechanisms of injury and decreasing Glasgow Coma Score were predictive for ordering CTB. Decreasing age was predictive for CTB abnormalities. Other factors were not. Conclusion: Patient-level drivers of CTB use in children in Australia and New Zealand are consistent with international data.

KW - brain

KW - children

KW - emergency medicine

KW - pediatrics

KW - tomography

KW - wounds and injuries

UR - http://hdl.handle.net/1959.7/uws:58348

U2 - 10.1111/1742-6723.13694

DO - 10.1111/1742-6723.13694

M3 - Article

SN - 1742-6731

VL - 33

SP - 157

EP - 160

JO - Emergency Medicine Australasia

JF - Emergency Medicine Australasia

IS - 1

ER -

Factors predictive for computed tomography use and abnormality in paediatric head injuries in Australia and New Zealand

Abstract

Bibliographical note

Keywords

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