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A secondary analysis to inform a clinical decision rule for predicting skull fracture and intracranial injury in children under age 2.

Publication ,  Journal Article
Stone, EL; Davis, LL; McCoy, TP; Travers, D; Van Horn, E; Krowchuk, HV
Published in: Research in nursing & health
January 2020

The purpose of this study was to identify factors associated with the risk of closed head injury (CHI) in children under age 2 years with suspected minor head injuries based on age-appropriate, or near age-appropriate, mental status on an exam. The study was a secondary data analysis of a public-use dataset from the largest prospective, multicenter pediatric head injury study found in the current literature. An existing, validated clinical decision rule was examined using a sample of 3,329 children under age 2 to determine whether it, or the individual variables within it, could be utilized alone, or in conjunction with other variables to accurately predict the risk of underlying CHI in this sample. Results indicated that the keys to an accurate triage assessment for children under age 2 with suspected minor head injuries include the ability to identify the specific skull region injured, the ability to assess for the presence and size of any scalp hematoma, the ability to identify signs of altered mental status in this age group, and having access to accurate information regarding the child's age and the details of the injury mechanism. The findings from this study add to the body of knowledge regarding what factors are associated with CHI in children under age 2 with suspected minor head injuries and could be used to inform age-specific recommendations for children under age 2 in triage, educational resources, and national trauma criteria.

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Published In

Research in nursing & health

DOI

EISSN

1098-240X

ISSN

0160-6891

Publication Date

January 2020

Volume

43

Issue

1

Start / End Page

28 / 39

Related Subject Headings

  • Triage
  • Skull Fractures
  • Risk Assessment
  • Prospective Studies
  • Predictive Value of Tests
  • Practice Guidelines as Topic
  • Nursing
  • Male
  • Infant, Newborn
  • Infant
 

Citation

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Chicago
ICMJE
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Stone, E. L., Davis, L. L., McCoy, T. P., Travers, D., Van Horn, E., & Krowchuk, H. V. (2020). A secondary analysis to inform a clinical decision rule for predicting skull fracture and intracranial injury in children under age 2. Research in Nursing & Health, 43(1), 28–39. https://doi.org/10.1002/nur.21993
Stone, Elizabeth L., Leslie L. Davis, Thomas P. McCoy, Debbie Travers, Elizabeth Van Horn, and Heidi V. Krowchuk. “A secondary analysis to inform a clinical decision rule for predicting skull fracture and intracranial injury in children under age 2.Research in Nursing & Health 43, no. 1 (January 2020): 28–39. https://doi.org/10.1002/nur.21993.
Stone EL, Davis LL, McCoy TP, Travers D, Van Horn E, Krowchuk HV. A secondary analysis to inform a clinical decision rule for predicting skull fracture and intracranial injury in children under age 2. Research in nursing & health. 2020 Jan;43(1):28–39.
Stone, Elizabeth L., et al. “A secondary analysis to inform a clinical decision rule for predicting skull fracture and intracranial injury in children under age 2.Research in Nursing & Health, vol. 43, no. 1, Jan. 2020, pp. 28–39. Epmc, doi:10.1002/nur.21993.
Stone EL, Davis LL, McCoy TP, Travers D, Van Horn E, Krowchuk HV. A secondary analysis to inform a clinical decision rule for predicting skull fracture and intracranial injury in children under age 2. Research in nursing & health. 2020 Jan;43(1):28–39.
Journal cover image

Published In

Research in nursing & health

DOI

EISSN

1098-240X

ISSN

0160-6891

Publication Date

January 2020

Volume

43

Issue

1

Start / End Page

28 / 39

Related Subject Headings

  • Triage
  • Skull Fractures
  • Risk Assessment
  • Prospective Studies
  • Predictive Value of Tests
  • Practice Guidelines as Topic
  • Nursing
  • Male
  • Infant, Newborn
  • Infant