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Comment
. 2019 Jan;21(1):120-124.
doi: 10.1017/cem.2018.444. Epub 2018 Oct 2.

Comparison of PECARN, CATCH, and CHALICE clinical decision rules for pediatric head injury in the emergency department

Mark McGraw  1 , Todd Way  2
Affiliations
Comment

Comparison of PECARN, CATCH, and CHALICE clinical decision rules for pediatric head injury in the emergency department

Mark McGraw et al. CJEM. 2019 Jan.

Abstract

Clinical questionWhat is the diagnostic accuracy of the PECARN, CATCH, and CHALICE clinical decision rules for pediatric head injury, and are the clinical decision rules valid when applied to a novel data set?Article chosenBabl FE, Borland ML, Phillips N, et al. Accuracy of PECARN, CATCH, and CHALICE head injury decision rules in children: a prospective cohort study. Lancet (London, England) 2017;389(10087):2393-402. OBJECTIVES: The primary objective of the study was to determine the diagnostic accuracy and provide external validation for the PECARN, CATCH, and CHALICE clinical decision rules in a clinically homogeneous cohort of children. The secondary objective of this study was to perform a direct comparison of the three decision rules by assessing for the presence of traumatic brain injury (TBI) on computed tomography (CT) or the requirement for neurointervention.

Keywords: CATCH; CHALICE; PECARN; clinical decision rules; emergency department; head injury; pediatric head injury; pediatrics.

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  • Accuracy of PECARN, CATCH, and CHALICE head injury decision rules in children: a prospective cohort study.
    Babl FE, Borland ML, Phillips N, Kochar A, Dalton S, McCaskill M, Cheek JA, Gilhotra Y, Furyk J, Neutze J, Lyttle MD, Bressan S, Donath S, Molesworth C, Jachno K, Ward B, Williams A, Baylis A, Crowe L, Oakley E, Dalziel SR; Paediatric Research in Emergency Departments International Collaborative (PREDICT). Babl FE, et al. Lancet. 2017 Jun 17;389(10087):2393-2402. doi: 10.1016/S0140-6736(17)30555-X. Epub 2017 Apr 11. Lancet. 2017. PMID: 28410792

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