Navigation Links
Not All Kids With Head Injuries Need Brain Scans

Screening could cut down on radiation exposure, researchers say

MONDAY, Sept. 14 (HealthDay News) -- Guidelines to identify children with a very low risk of serious brain injury after they've suffered a head injury are highly effective and can reduce the use of scans that expose children to radiation, a new study has found.

U.S. researchers analyzed data on more than 42,000 children who experienced a head injury, including computed tomography (CT) scan results on 35 percent of the children. Clinically important traumatic brain injuries occurred in 376 (1 percent) of the children and, of those, 60 underwent neurosurgery.

Characteristics used to predict which children younger than age 2 didn't have a clinically important traumatic brain injury were: normal mental status, no scalp swelling except frontal, no loss of consciousness or unconscious for under five seconds, non-severe injury mechanism, no noticeable skull fracture, and parents reporting normal behavior in the child.

Using these guidelines, the researchers accurately predicted 100 percent of 1,176 patients who didn't have clinically important traumatic brain injury. Among children under age 2 in this low-risk group, 24 percent received a CT scan, the researchers noted.

In children aged 2 to 18 years, clinical characteristics used for screening included: normal mental status, no loss of consciousness, no vomiting, non-severe injury mechanism, no signs of basilar skull fracture, and no severe headache. These guidelines correctly predicted all but two of 3,800 patients (99.95 percent) who didn't have clinically important traumatic brain injury. Twenty percent of patients in this low-risk group received a CT scan, the study authors added.

The study appears online Sept. 14 and in an upcoming print issue of The Lancet.

Using these clinically important traumatic brain injury prediction rules could have avoided the use of CT scans and resulting radiation exposure in 25 percent of children younger than 2 years old and in 20 percent of children older than 2 years, study author Dr. Nathan Kuppermann, of the University of California, Davis Medical Center in Sacramento, and colleagues, said in a news release.

More information

The Nemours Foundation has more about children and head injuries.

-- Robert Preidt

SOURCE: The Lancet, news release, Sept. 14, 2009

Copyright©2009 ScoutNews,LLC.
All rights reserved  

Related medicine news :

1. Hormone promises to keep joint injuries from causing long-term osteoarthritis
2. High School Sports Put Players at Risk for Severe Injuries
3. Deaths from unintentional injuries increase for many groups
4. Daylight-saving time leads to less sleep, more injuries on the job
5. September is Vision Safety Month at the Vision Center CHLA: Sports Eye Injuries a Leading Cause of Blindness in Children
6. Learning how to cope with burn injuries
7. Hearst National Investigation Finds Americans Are Continuing to Die in Staggering Numbers From Preventable Medical Injuries
8. Knowing What to Look for Can Aid in Proper Diagnosis & Treatment of Mild Traumatic Brain Injuries
9. Gym Class Injuries Up 150 Percent
10. New national study finds increase in P.E. class-related injuries
11. Pet Bite Injuries: K-State Veterinarian Shares Tips to Minimize Risk of Bites and Bite-Related Infections
Post Your Comments:
Related Image:
Not All Kids With Head Injuries Need Brain Scans
(Date:6/25/2016)... , ... June 25, 2016 , ... ... policy issues and applications at AcademyHealth’s Annual Research Meeting June 26-28, 2016, at ... on several important health care topics including advance care planning, healthcare costs and ...
(Date:6/25/2016)... ... ... As a lifelong Southern Californian, Dr. Omkar Marathe earned his Bachelors in ... School of Medicine at UCLA. He trained in Internal Medicine at Scripps Green Hospital ... at the UCLA-Olive View-Cedars Sinai program where he had the opportunity to train in ...
(Date:6/24/2016)... ... ... Those who have experienced traumatic events may suffer from a complex set ... drug or alcohol abuse, as a coping mechanism. To avoid this pain and suffering, ... traumatic event. , Trauma sufferers tend to feel a range of emotions, from depression, ...
(Date:6/24/2016)... ... June 24, 2016 , ... Dr. Amanda Cheng, ... treatment. Dr. Cheng has extensive experience with all areas of orthodontics, including robotic ... osteogenic orthodontics. , Micro-osteoperforation is a revolutionary adjunct to orthodontic treatment. It ...
(Date:6/24/2016)... ... June 24, 2016 , ... The Haute Beauty ... Barry M. Weintraub as a prominent plastic surgeon and the network’s newest partner. ... and the most handsome men, look naturally attractive. Plastic surgery should be invisible.” ...
Breaking Medicine News(10 mins):
(Date:6/23/2016)... June 23, 2016  In a startling report released today, ... residents by lacking a comprehensive, proven plan to eliminate prescription opioid ... ranking of how states are tackling the worst drug crisis in ... states – Kentucky , New Mexico ... . Of the 28 failing states, three – ...
(Date:6/23/2016)... , June 23, 2016 Research ... Pharma News Issue 52" report to their offering. ... in influenza treatment creates a favourable commercial environment for MedImmune ... growing patient base that will serve to drive considerable growth ... vaccine would serve to cap sales considerably, but development is ...
(Date:6/23/2016)... BOGOTA, Colombia , June 23, 2016  Astellas today announced the establishment of Astellas Farma Colombia (AFC), ... company,s second affiliate in Latin America . ... ... Colombia ... ...
Breaking Medicine Technology: