Journal of Trauma and Injury

The Korean Society of Traumatology (대한외상학회)
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The Use of Brain Computer Tomography Examination with Mild Traumatic Brain Injury in Pediatrics

일개 대학병원에서 경험한 소아의 경증 두부 외상에서 Brain CT 측정 및 효용성

  • Kim, Ha Kyung (Department of Emergency Medicine, Gachon University Gil Medical Center) ;
  • Kim, Jin Joo (Department of Emergency Medicine, Gachon University Gil Medical Center) ;
  • Cho, Jin Seong (Department of Emergency Medicine, Gachon University Gil Medical Center) ;
  • Jang, Jae Ho (Department of Emergency Medicine, Gachon University Gil Medical Center) ;
  • Yang, Hyuk Jun (Department of Emergency Medicine, Gachon University Gil Medical Center) ;
  • Lee, Gun (Department of Emergency Medicine, Gachon University Gil Medical Center)
  • 김하경 (가천대 길병원 응급의학교실) ;
  • 김진주 (가천대 길병원 응급의학교실) ;
  • 조진성 (가천대 길병원 응급의학교실) ;
  • 장재호 (가천대 길병원 응급의학교실) ;
  • 양혁준 (가천대 길병원 응급의학교실) ;
  • 이근 (가천대 길병원 응급의학교실)
  • Received : 2014.07.01
  • Accepted : 2014.08.26
  • Published : 2014.09.30
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Abstract

Purpose: In children, mild traumatic brain injuries (TBI) account for 70~90% of head injuries. Without guidelines, many of these children may be exposed to excess radiation due to unnecessary imaging. The purpose of this study was to evaluate the impact of a mild TBI guideline in imaging of pediatric patients. Methods: The medical records of all children who had head computed tomography and were admitted to our hospital with a TBI with Pediatric Glasgow Coma Scale and Glasgow Coma Scale of 14 to 15 were retrospectively reviewed and compared with PECARN Rule. Results: A total of 1260 children were included and all children checked with head computed tomography. 61 pediatrics had CT positive and presented skull fracture 40, hemorrhage 8, hemorrhagic contusion 7, and diffuse axonal injury 1. Also, 4 patients diagnosed both skull fracture and brain haemorrhage and 1 patient diagnosed both haemorrhage and haemorrhagic contusion. Conclusion: There are many pediatric traumatic patients who exposed to radiation due to CT. But, the most of results were negative. So, consider to follow the CT guideline for children and many do not require brain CT.

Keywords

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