Symptomatic blunt head injury in children--a prospective, single-investigator study.

Abstract:

:The goal of this study was to describe a single emergency physician's experience with symptomatic blunt head injury in children and prospectively assess the sensitivity and predictive value of the neurologic examination. The author utilized a prospective patient series comparing neurologic examination with computed tomography (CT) of the head. Nine of 42 patients had intracranial injury for a prevalence of 21%; two patients (5%) had intracranial injury with only subtle neurologic examination findings. Twenty-six patients had a negative neurologic examination, and all had normal-appearing CT scans. Sixteen patients had a positive neurologic examination, of whom nine had a positive CT scan. The properties of the neurologic examination as a diagnostic test, with CT as the gold standard, were as follows: sensitivity = 100%, specificity = 78%, positive predictive value = 56%, negative predictive value = 100%. Normal findings from neurologic examination can be used in some children with symptomatic blunt head injury to delay or eliminate the need for CT of the head.

journal_name

Clin Pediatr (Phila)

journal_title

Clinical pediatrics

authors

Fisher JD

doi

10.1177/000992289703600805

subject

Has Abstract

pub_date

1997-08-01 00:00:00

pages

461-5

issue

8

eissn

0009-9228

issn

1938-2707

journal_volume

36

pub_type

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