Validation of a Clinical Prediction Rule for Pediatric Abusive Head Trauma
Validation of a Clinical Prediction Rule for Pediatric Abusive Head Trauma
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DOI：
10.1542/peds.2014-1329
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发表时间：
2014-12-01
期刊：
影响因子：
8
通讯作者：
Wang, Ming
中科院分区：
文献类型：
--
作者：
Hymel, Kent P.;Armijo-Garcia, Veronica;Wang, Ming
背景与目的：为了减少儿童虐待性头部创伤（AHT）的漏诊病例，儿科脑损伤研究网络的研究人员得出了一个4变量的AHT临床预测规则（CPR），其灵敏度为0.96。我们的目的是验证这个AHT CPR在一个新的，等效patient population.METHODS：我们进行了一项前瞻性，多中心，观察性，横断面研究的筛选性能。应用相同的纳入标准，AHT的定义标准，以及在完成的衍生研究中使用的方法，儿科脑损伤研究网络的研究人员收集了291名急性头部受伤儿童的完整临床，历史和放射学数据
BACKGROUND AND OBJECTIVE: To reduce missed cases of pediatric abusive head trauma (AHT), Pediatric Brain Injury Research Network investigators derived a 4-variable AHT clinical prediction rule (CPR) with sensitivity of.96. Our objective was to validate the screening performance of this AHT CPR in a new, equivalent patient population.METHODS: We conducted a prospective, multicenter, observational, cross-sectional study. Applying the same inclusion criteria, definitional criteria for AHT, and methods used in the completed derivation study, Pediatric Brain Injury Research Network investigators captured complete clinical, historical, and radiologic data on 291 acutely head-injured children