A MATCHED-COHORT STUDY OF PEDIATRIC HEAD INJURIES: COLLECTING DATA TO INFORM AN EVIDENCE-BASED TRIAGE ASSESSMENT
A MATCHED-COHORT STUDY OF PEDIATRIC HEAD INJURIES: COLLECTING DATA TO INFORM AN EVIDENCE-BASED TRIAGE ASSESSMENT
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DOI：
10.1016/j.jen.2013.07.001
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发表时间：
2014-01-01
影响因子：
1.7
通讯作者：
Woodard, Elizabeth K.
中科院分区：
文献类型：
--
作者：
Griffin, Elizabeth Stone;Lippmann, Steven J.;Woodard, Elizabeth K.
简介：分诊护士是到急诊科接受护理的患者的“第一站”。儿科头部损伤的评估尤其具有挑战性，因为儿童头部外伤的体征和症状与闭合性头部损伤 (CHI) 的风险并没有很好的相关性。方法：进行了一项回顾性配对队列研究，以比较 2 组到儿科急诊科评估头部损伤的患者：通过计算机断层扫描确定的 CHI 阳性队列和 CHI 阴性队列。图表审查的目的是从两个队列中收集具体信息，这些信息可用于为护士驱动的儿科头部损伤评估工具提供信息。结果：孩子越小，他们越有可能没有症状。婴儿头皮血肿
Introduction: Triage nurses are the "first stop" for patients who present to the emergency department for care. The assessment of pediatric head injuries is especially challenging because signs and symptoms of head trauma in children do not correlate well with the risk of closed head injury (CHI).Methods: A retrospective matched cohort study was conducted to compare 2 groups of patients who presented to a pediatric emergency department for evaluation of a head injury: a CHI-positive cohort and a CHI-negative cohort as identified by computed tomography scan. The purpose of the chart review was to collect specific information from both cohorts which could be used to inform a nurse-driven pediatric head injury assessment tool.Results: The younger the child, the more likely they were to be asymptomatic. Scalp hematomas in infants