Comparison of Emergency Medicine Physician’s Decision and Pecarn Scale Suggestions On Pediatric Head Trauma Patients

dc.contributor.authorGokdag, Eren
dc.contributor.authorEyüpoğlu, Gökhan
dc.contributor.authorTatlı, Mehmet
dc.contributor.authorGuneysel, Ozlem
dc.date.accessioned2024-07-12T22:04:13Z
dc.date.available2024-07-12T22:04:13Z
dc.date.issued2021en_US
dc.description.abstractObjectives: To determine head CT scan necessity in pediatric head trauma patients and to compare decisions of Emergency medicine physicians (EMP) and Pediatric Emergency Care Applied Research Network (PECARN) scale suggestions on head CT scan necessity. Materials and Methods: Our study was conducted retrospectively in our third stage hospital between January 2014 and December 2014. Patients under the age of 13 with head injury because of fall were included. Registry of all patients was analyzed and PECARN scale was applied to each patient’s data retrospectively. Suggestions of PECARN scale were noted. Head CT scans were reported by radiologist. EMP’s decision and PECARN scale suggestions were compared. Patients whom should had CT scan by PECARN scale suggestions but had no imaging were contacted and questioned about any other reasons to seek medical care. Results: PECARN suggestion and EMP’s decisions of CT necessity compared. Concordance analysis of two results are determined as 76.6% (Kappa coefficient: 0.766). EMP’s decisions had 88.76% sensitivity, 91.09% specificity, 78.22% positive predictive value, 95.74% negative predictive value and 90.48% accuracy. Conclusions: In assessment of children with minor head injury EMP decision and PECARN scale were found coherent and sufficient. Instead of early decision of CT scan, observation of patient can reduce radiation exposure, but cost effectivity of this approach should be evaluated by further studies.en_US
dc.identifier.doi10.5505/vtd.2021.34545
dc.identifier.endpage127en_US
dc.identifier.issn1300-2694
dc.identifier.issn2587-0351
dc.identifier.issue1en_US
dc.identifier.startpage121en_US
dc.identifier.trdizinid1121864en_US
dc.identifier.urihttps://doi.org/10.5505/vtd.2021.34545
dc.identifier.urihttps://search.trdizin.gov.tr/yayin/detay/1121864
dc.identifier.urihttps://hdl.handle.net/20.500.12415/9618
dc.identifier.volume28en_US
dc.indekslendigikaynakTR-Dizin
dc.language.isoenen_US
dc.relation.ispartofVan Tıp Dergisien_US
dc.relation.publicationcategoryMakale - Ulusal Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.snmzKY04930
dc.titleComparison of Emergency Medicine Physician’s Decision and Pecarn Scale Suggestions On Pediatric Head Trauma Patientsen_US
dc.typeArticle
dspace.entity.typePublication

Dosyalar