medigraphic.com
SPANISH

Revista Mexicana de Pediatría

ISSN 0035-0052 (Print)
  • Contents
  • View Archive
  • Information
    • General Information        
    • Directory
  • Publish
    • Instructions for authors        
    • Send manuscript
  • medigraphic.com
    • Home
    • Journals index            
    • Register / Login
  • Mi perfil

2019, Number 6

<< Back Next >>

Rev Mex Pediatr 2019; 86 (6)

Use of clinical prediction rules in children with craniocerebral trauma in emergency departments in Colombia

Morales‑Camacho WJ, Méndez EM, Ramos NI, Aguilar‑Mejía JA, Contreras JP, Estrada JM, Morales‑Camacho MA, Arias AF, Plata-Ortiz S
Full text How to cite this article 10.35366/91874

DOI

DOI: 10.35366/91874
URL: https://dx.doi.org/10.35366/91874

Language: Spanish
References: 27
Page: 229-233
PDF size: 257.41 Kb.


Key words:

Traumatic brain injury, children, emergency, clinical practice guideline.

ABSTRACT

Introduction: The aim of this study was to evaluate how pediatricians in emergency departments in Bogotá, Colombia use clinical prediction rules in traumatic brain injury (TBI), by. Material and methods: This was a survey applied to 80 pediatricians assigned to five pediatric emergency departments. Participants were invited via email. Under informed consent, a virtual questionnaire consisting of 12 questions was applied between November 2018 and February 2019. Results: Of the total, 62.5% said they used any of the rules or clinical algorithm. Not aware of these guidelines was the most frequent reason for not to use them. It was noted that there is no well-defined criteria for deciding performing tomography skull in mild TBI. Conclusion: Strengthen education seems necessary to unify the medical decisions around the TBI in children, in order to improve the quality of care and costs.


REFERENCES

  1. Fundarò C, Caldarelli M, Monaco S, Cota F, Giorgio V, Filoni S et al. Brain CT scan for pediatric minor accidental head injury. An Italian experience and review of literature. Childs Nerv Syst. 2012; 28(7): 1063-1068.

  2. Pardes-Berger R, Adelson PD. Evaluation and management of pediatric head trauma in the emergency department: current concepts and state-of-the-art research. Clin Ped Emerg Med. 2005; 6: 8-15.

  3. Hamilton NA, Keller MS. Mild traumatic brain injury in children. Semin Pediatr Surg. 2010; 19(4): 271-278.

  4. Moreno-Lozada SL. Comportamiento de muertes y lesiones accidentales, Colombia, 2013. Disponible en http://www.medicinalegal.gov.co/documents/20143/49517/Muertes+y+lesiones+accidentales.pdf

  5. Lozano-Losada A. Trauma craneoencefálico aspectos epidemiológicos y fisiopatológicos. RFS Revista Facultad de Salud. 2009; 1: 63-76.

  6. Wiebe DJ, Collins MW, Nance ML. Identification and validation of prognostic criteria for persistence of mild traumatic brain injury-related impairment in the pediatric patient. Pediatr Emerg Care. 2012; 28(6): 498-502.

  7. Borg J, Holm L, Cassidy JD, Peloso PM, Carroll LJ, von Holst H et al. Diagnostic procedures in mild traumatic brain injury: results of the WHO Collaborating Centre Task Force on Mild Traumatic Brain Injury. J Rehabil Med. 2004; (43 Suppl): 61-75.

  8. Pérez-Suárez E, Serrano A, Casado-Flores J. Traumatismo craneoencefálico en la edad pediátrica. Revista Española de Pediatría. 2010; 66(1): 60-72.

  9. Manrique-Martínez I, Alcalá-Minagorre PJ. Manejo del Traumatismo craneal pediátrico. Protocolos diagnósticos-terapéuticos de Urgencias Pediátricas. SEUP-AEP. 2010.

  10. Farrell CA, Canadian Paediatric Society, Acute Care Committee. Management of the paediatric patient with acute head trauma. Paediatr Child Health. 2013; 18(5): 253-258.

  11. Sarsfield MJ, Morley EJ, Callahan JM, Grant WD, Wojcik SM. Evaluation of emergency medicine discharge instructions in pediatric head injury. Pediatr Emerg Care. 2013; 29(8): 884-887.

  12. Blackwood BP, Bean JF, Sadecki-Lund C, Helenowski IB, Kabre R, Hunter CJ. Observation for isolated traumatic skull fractures in the pediatric population: unnecessary and costly. J Pediatr Surg. 2016; 51(4): 654-658.

  13. Schutzman SA, Greenes DS. Pediatric minor head trauma. Ann Emerg Med. 2001; 37(1): 65-74.

  14. Shah NB, Platt SL. ALARA: is there a cause for alarm? Reducing radiation risks from computed tomography scanning in children. Curr Opin Pediatr. 2008; 20(3): 243-247.

  15. Mojica C, Gañan-Vesga JG, Arenas-Correa HC. Utilidad de las reglas de decisión clínica PECARN como predictor de lesión intracraneana en el trauma cráneo encefálico catalogado como leve en la población pediátrica de Tunja, Boyacá. Pediatr. 2016; 49(3): 78-83.

  16. Hall P, Adami HO, Trichopoulos D, Pedersen NL, Lagiou P, Ekbom A et al. Effect of low doses of ionising radiation in infancy on cognitive function in adulthood: Swedish population based cohort study. BMJ. 2004; 328(7430): 19.

  17. Osmond MH, Klassen TP, Wells GA, Correll R, Jarvis A, Joubert G et al. CATCH: a clinical decision rule for the use of computed tomography in children with minor head injury. CMAJ. 2010; 182(4): 341-348.

  18. Lyttle MD, Cheek JA, Blackburn C, Oakley E, Ward B, Fry A et al. Applicability of the CATCH, CHALICE and PECARN paediatric head injury clinical decision rules: pilot data from a single Australian centre. Emerg Med J. 2013; 30(10): 790-794.

  19. Lyttle MD, Crowe L, Oakley E, Dunning J, Babl FE. Comparing CATCH, CHALICE and PECARN clinical decision rules for paediatric head injuries. Emerg Med J. 2012; 29(10): 785-794.

  20. Easter JS, Bakes K, Dhaliwal J, Miller M, Caruso E, Haukoos JS. Comparison of PECARN, CATCH, and CHALICE rules for children with minor head injury: a prospective cohort study. Ann Emerg Med. 2014; 64(2): 145-152.e5.

  21. Falconí-Salazar MA. Utilidad de las reglas de decisión clínica PECARN para identificar niños con riesgo muy bajo de lesiones intracraneales traumáticas clínicamente importantes en el Hospital Pediátrico Baca Ortiz en el año 2015 [Tesis]. Quito: Pontificia Universidad Católica del Ecuador; 2017. p. 71.

  22. Klassen TP, Reed MH, Stiell IG, Nijssen-Jordan C, Tenenbein M, Joubert G et al. Variation in utilization of computed tomography scanning for the investigation of minor head trauma in children: a Canadian experience. Acad Emerg Med. 2000; 7(7): 739-744.

  23. Rangel-Lara AC. Hallazgos tomográficos del trauma cráneo-encefálico leve en niños menos de un años atendidos en una institución pediátrica de Bogotá [Tesis]. Bogotá D.C.: Universidad Nacional de Colombia; 2015. p. 63.

  24. Sorantin E, Wegmann H, Zaupa P, Mentzel HJ, Riccabona M. Computed tomographic scan in head trauma: what is the rational in children? Eur J Pediatr Surg. 2013; 23(6): 444-453.

  25. Lases-Rufeil S, Cuevas-Rivas AP, Martina-Luna M, Braverman-Bronstein A, Bernárdez-Zapata I, Iglesias-Leboreiro J. El uso de una herramienta visual tipo semáforo en pacientes pediátricos con traumatismo craneoencefálico leve disminuye el nivel de angustia de los padres. Rev Mex Pediatr. 2018; 85 (4): 16-129.

  26. Dunning J, Batchelor J, Stratford-Smith P, Teece S, Browne J, Sharpin C et al. A meta-analysis of variables that predict significant intracranial injury in minor head trauma. Arch Dis Child. 2004; 89(7):653-659.

  27. Atabaki SM, Stiell IG, Bazarian JJ, Sadow KE, Vu TT, Camarca MA et al. A clinical decision rule for cranial computed tomography in minor pediatric head trauma. Arch Pediatr Adolesc Med. 2008; 162(5): 439-445




2020     |     www.medigraphic.com

Mi perfil

C?MO CITAR (Vancouver)

Rev Mex Pediatr. 2019;86