Comparison of PECARN, CATCH, and CHALICE Rules for Children With Minor Head Injury: A Prospective Cohort Study
Comparison of PECARN, CATCH, and CHALICE Rules for Children With Minor Head Injury: A Prospective Cohort Study
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DOI：
10.1016/j.annemergmed.2014.01.030
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发表时间：
2014-08-01
影响因子：
6.2
通讯作者：
Haukoos, Jason S.
中科院分区：
文献类型：
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作者：
Easter, Joshua S.;Bakes, Katherine;Haukoos, Jason S.
研究目的：我们评估临床决策规则和医生判断的诊断准确性，以识别到急诊科就诊的轻微头部损伤儿童的临床重要的创伤性脑损伤。方法：我们前瞻性地招募了 18 岁以下的轻微头部损伤儿童（格拉斯哥昏迷量表评分 13 至 15），且在受伤后 24 小时内就诊。我们评估了 3 项临床决策规则（加拿大儿童头部损伤断层扫描评估 [CATCH]、用于预测重要临床事件的儿童头部损伤算法 [CHALICE] 和儿科紧急护理应用研究网络 [PECARN]）和 2 项医生判断措施的能力（估计
Study objective: We evaluate the diagnostic accuracy of clinical decision rules and physician judgment for identifying clinically important traumatic brain injuries in children with minor head injuries presenting to the emergency department.Methods: We prospectively enrolled children younger than 18 years and with minor head injury (Glasgow Coma Scale score 13 to 15), presenting within 24 hours of their injuries. We assessed the ability of 3 clinical decision rules (Canadian Assessment of Tomography for Childhood Head Injury [CATCH], Children's Head Injury Algorithm for the Prediction of Important Clinical Events [CHALICE], and Pediatric Emergency Care Applied Research Network [PECARN]) and 2 measures of physician judgment (estimated of