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. 2024 Nov 26:168:D8298.

[Mild traumatic brain injury in children: can we reduce the number of CT-scans?]

[Article in Dutch]
Aukelien Jacobs  1   2 , Leo Kluijtmans  3 , Niels Schoenmaker  4 , Jeroen G Veldhuis  1 , Jolita Bekhof  5
Affiliations
  • PMID: 39606870

[Mild traumatic brain injury in children: can we reduce the number of CT-scans?]

[Article in Dutch]
Aukelien Jacobs et al. Ned Tijdschr Geneeskd. .

Abstract

Objective: Evaluating the safety of a more expectative approach than described in the guideline 'Mild traumatic head/brain injury' (mTBI) within children.

Design: Retrospective chart review.

Method: Children (0-18 years) with mTBI, who visited the emergency department of Isala between December 2018 and July 2022, were included. Outcomes were the percentages of hospital admissions; CT-scans; intracranial hemorrhage, neurosurgical interventions and adherence to the national guideline.

Results: 704 patients with mTBI were included. Hospital admissions and CT-scans were performed in 67.5% and 6.7%, respectively. Intracranial hemorrhage was found in 13 patients (1.8%) and 2 patients (0.3%) underwent a neurosurgical intervention. Guideline adherence was 34.5%. Non-adherence to the guideline existed of choosing for a hospital admission even though a CT-scan was indicated.

Conclusion: The adherence to the guideline mTBI was poor. An expectative approach without initial imaging was sufficiently safe.

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