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Derivation of the children's head injury algorithm for the prediction of important clinical events decision rule for head injury in children
Archives of Disease in Childhood · 2006 · Vol. 91(11) · pp. 885–891
Joel Dunning✉(Manchester Royal Infirmary)John Daly(University of Manchester)J-P Lomas(Manchester Royal Infirmary)Fiona Lecky(Salford Royal Hospital)J. S. Batchelor(Manchester Royal Infirmary)Kevin Mackway‐Jones(Manchester Royal Infirmary)
Abstract
A highly sensitive clinical decision rule is derived for the identification of children who should undergo computed tomography scanning after head injury. This rule has the potential to improve and standardise the care of children presenting with head injuries. Validation of this rule in new cohorts of patients should now be undertaken.
Traumatic Brain Injury and Neurovascular DisturbancesTrauma and Emergency Care StudiesTraumatic Brain Injury ResearchMedicineHead injuryConfidence intervalComputed tomographyEmergency departmentProspective cohort studyClinical prediction ruleAbnormalityAlgorithmPediatrics
MeSH terms
AlgorithmsChildChild, PreschoolDecision Support TechniquesEnglandFemaleCraniocerebral TraumaHumansInfantInfant, NewbornMaleProspective StudiesSensitivity and SpecificityTomography, X-Ray ComputedCohort Studies
Funding
- Royal College of Surgeons of England
Citations
479
FWCI
4.85
field-weighted impact
References
35
Percentile
95%
vs. same field & year
Citations per year
References
Methodologic Standards for the Development of Clinical Decision Rules in Emergency Medicine
Annals of Emergency Medicine · 1999 · 577 citations
Weighted kappa: Nominal scale agreement provision for scaled disagreement or partial credit.
Psychological Bulletin · 1968 · 8,425 citations
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