Online ISSN: 3007-0244,
Print ISSN:  2410-4280
THE EVALUATION OF PATIENT WITH CHILDHOOD MINÖR HEAD TRAUMA ACCORDING TO CANADIAN ASSESSMENT OF TOMOGRAPHY FOR CHILDHOOD HEAD İNJURY (CATCH) RULE
Aim: we aimed to test the reliability of Canadian Assessment of Tomography for Childhood Head İnjury (CATCH) Rule iin children with minor head injury. Methods: It was performed prospectively on patients admitted due to minor head trauma. Patients were evaluated with CATCH rule and divided into 2 groups. Descriptive values are number and percentage for categorical data, mean ± standard deviation for age expressed in terms. For categorical data in comparison of groups, Chi-Square and Fisher-Exact test, T test was used on independent samples for continuous data. p <0.05 value was considered statistically significant. Results: The most common cause of travma was game and sports injuries. In our study, the CATCH rule has been calculateted sensitivity 100%, specificity 48.5%, and negative predictive value was 51.5%. Conclusion: We found the CATCH rule was very successful in reducing unnecessary CT shots.
Suleyman Altun1*, Figen Coşkun2 1 Dışkapı Yıldırım Beyazıt Traning and Research Hospital, Emergency Department, Ankara, Turkey; 2 Dokuz Eylul University Faculty of Medicine, Emergency Department, İzmir, Turkey.
1. Stiell I.G., Lesiuk H., Wells G.A., McKnight R.D., Brison R., Clement C., Eisenhauer M.A., Greenberg G.H., MacPhail I., Reardon M., et al. The Canadian CT head rule study for patients with minor head injury: rationale, objectives, and methodology for phase I (derivation). Ann Emerg Med. 2001;38(2):160–9. 2. Morton M.J., Korley F.K. Head computed tomography use in the emergency department for mild traumatic brain injury: integrating evidence into practice for the resident physician. Ann Emerg Med 2012;60(3):361-7. 3. Katırcı Y., Ocak T., Karamercan M.A., Kocaşaban D., Yurdakul M.S., Başpınar İ., Coşkun F. Compliance with Catch Rules in Admınısterıig Computerızed Tomography Scans to Children Admitted to the Emergency Department with Minor Head Trauma. Acta Medica Mediterranea 2013; 29: 717-22 4. Stiell I.G., Wells G.A., Vandemheen K., et al. The Canadian CT Head Rule for patients with minor head injury. Lancet 2001:357:1391. 5. Osmond M.H., Klassen T.P., Wells G.A., et al. CATCH: a clinical decision rule for the use of computed tomography in children with minor head injury. CMAJ. 2010; 182(4): 341-348. 6. Bouida W., Marghli S., Souissi S., Ksibi H., Methammem M., Haguiga H., Khedher S., Boubaker H., Beltaief K., Grissa M.H., et al. Prediction value of the Canadian CT head rule and the New Orleans criteria for positive head CT scan and acute neurosurgical procedures in minor head trauma: a multicenter external validation study. Ann Emerg Med. 2013; 61(5): 521–7. 7. Gimbel R.W., Pirrallo R.G., Lowe S.C., Wright D.W., Zhang L., Woo M.J. et al. Effect of clinical decision rules, patient cost and malpractice information on clinician brain CT image ordering: a randomized controlled tria. BMC Medical Informatics and Decision Making 2018; 18: 20. https://doi.org/10.1186/s12911-018-0602-1 8. Kavalci C., Aksel G., Salt O., Yilmaz M.S., Demir A., Kavalci G., Akbuga Ozel B., Altinbilek E., Durdu T., Yel C., Durukan P., Isik B. Comparison of the Canadian CT head rule and the new orleans criteria in patients with minor head injury. World J Emerg Surg. 2014 Apr 17;9:31. doi: 10.1186/1749-7922-9-31. 9. Melnick E.R., Szlezak C.M., Bentley S.K., Dziura J.D., Kotlyar S., Post L.A. CT overuse for mild traumatic brain injury. Jt Comm J Qual Patient Saf. 2012;38:483–9. 10. Haydel M.J., Preston C.A., Mills T.J., et al. Indications for computed tomography in patients with minor head injury. N Engl J Med 2000:343:100.43. 11. Sharp A.L., Nagaraj G., Rippberger E.J., Shen E., Swap C.J., Silver M.A., McCormick T., Vinson D.R., Hoffman J.R. Computed tomography use for adults with head injury: describing likely avoidable emergency department imaging based on the Canadian head CT rule. Acad Emerg Med. 2017; 24(1): 22–30. 12. Lindor R.A., Boie E.T., Campbell R.L., Hess E.P,. Sadosty A.T. Failure to obtain computed tomography imaging in head trauma: a review of relevant case law. Acad Emerg Med. 2015;22:1493–8. 13. Mirzai H., Yağli N., Tekin I. Epidemiologic and clinical features of cases applying to Celal Bayar University emergency unit with head trauma. Ulus Travma Acil Cerrahi Derg. 2005:11(2):146-52. 14. Klassen T.P., Reed M.H., Stiell I.G., et al. Variation in utilization of computed tomography scanning for the investigation of minor head trauma in children: a Canadian experience. Acad Emerg Med 2000:7:739–44. 15. Mary L. Thiessen, Dale P. Woolridge. Pediatric Minor Closed Head Injury. Pediatr Clin N Am 2006: (53)1-26. 16. Alexander M.P. Mild traumatic brain injury. Neurology 1995:45: 1253-60. 17. Nee P.A., Hadfield J.M., Yates D.W., Faragher E.B. Significance of vomiting after head injury J Neurol Neurosurg Psychiatry 1999:66:470–473 18. Iverson G.L. Outcome from mild traumatic brain injury. Curr Opin Psychiatry 2005:18:301. 19. Syed A.T., Lone N.A, Wani M. Afzal, Bhat A.S. Clinical Management of Patients with Minor Head Injuries. International Journal of Health Sciences. 2007;1(1):131-140.
Количество просмотров: 817

Ключевые слова:


Библиографическая ссылка

Altun S., Coşkun F. The evaluation of patient with childhood minör head trauma according to Canadian Assessment of Tomography for Childhood Head İnjury (CATCH) Rule // Nauka i Zdravookhranenie [Science & Healthcare]. 2020, (Vol.22) 6, pp. 49-53. doi 10.34689/SH.2020.22.6.007

Авторизируйтесь для отправки комментариев