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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2019.1
- 수록면
- 63 - 68 (6page)
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Purpose: Computed tomography (CT) scan is an effective modality for detecting fatal traumatic brain injury. However, radiation exposure from CT can increase the risk of cancer, and children are more vulnerable to radiation than adults. We aimed to investigate the effect of introducing the Pediatric Emergency Care Applied Research Network (PECARN) rule to the emergency department (ED). Methods: Medical records of children younger than 2 years with minor head injury who visited ED from January 2013 to June 2015 were reviewed. We started the education of radiation hazard and the PECARN rule in January 2014. The children were divided into pre- and post- education groups. The baseline characteristics, CT rate, and clinical outcomes were analyzed. The safety and efficacy of CT were defined as patients who received head CT scan per those experiencing clinically important traumatic brain injury (ciTBI) and patients without CT scan per those without ciTBI, respectively. Results: Of 911 patients, 360 (39.5%) visited during the post-education period. Median age was 16.0 months (interquartile range, 11.0-20.0 months), and boys accounted for 58.5%. CT rate was reduced from 40.5% to 12.8% (P < 0.001). There was no difference in ciTBI rates between the two groups (1.3% vs. 1.7%, P = 0.622). The safety was 100% in both periods and the efficacy increased from 52.9% to 88.7%. Conclusion: We have seen a significant decrease in CT rate through the education of the PECARN rule. After its introduction, CT use was reduced, and the efficacy was improved without decrease in the safety.
목차
등록된 정보가 없습니다.
참고문헌 (22)
참고문헌 신청
Hawley CA / 2003 / Prevalence of traumatic brain injury amongst children admitted to hospital in one health district: a populationbased study / Injury 34:256~260
Hyder AA / 2007 / The impact of traumatic brain injuries: a global perspective / NeuroRehabilitation 22:341~353
Holmes JF / 2005 / Performance of the pediatric glasgow coma scale in children with blunt head trauma / Acad Emerg Med 12:814~819
Kuppermann N / 2009 / Identification of children at very low risk of clinically-important brain injuries after head trauma: a prospective cohort study / Lancet 374:1160~1170
Pearce MS / 2012 / Radiation exposure from CT scans in childhood and subsequent risk of leukaemia and brain tumours: a retrospective cohort study / Lancet 380:499~505
Hyder AA / 2007 / The impact of traumatic brain injuries: a global perspective / NeuroRehabilitation 22:341~353
Holmes JF / 2005 / Performance of the pediatric glasgow coma scale in children with blunt head trauma / Acad Emerg Med 12:814~819
Kuppermann N / 2009 / Identification of children at very low risk of clinically-important brain injuries after head trauma: a prospective cohort study / Lancet 374:1160~1170
Pearce MS / 2012 / Radiation exposure from CT scans in childhood and subsequent risk of leukaemia and brain tumours: a retrospective cohort study / Lancet 380:499~505
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