Abstract
Purpose: While closed head injuries (CHI) occur commonly in children, most cases do not result in clinically important traumatic brain injury (ciTBI). The 2009 PECARN Pediatric Head Injury algorithm is a well-validated clinical decision guide that enables physicians to safely exclude ciTBIs in children with CHI without obtaining neuroimaging, thus decreasing unnecessary exposure to radiation and other health risks, in addition to healthcare costs. We sought to assess the prevalence of and trends in head CT utilization in children visiting an Emergency Department (ED) with CHI across the United States using a …
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