Evaluation of management and guideline adherence in children with mild traumatic brain injury

Brain Injury : [BI]
Merel C BroersCoriene E Catsman-Berrevoets

Abstract

To evaluate the management and guideline adherence in children with mild traumatic brain injury (MTBI) in emergency departments (ED) in the Netherlands. A multicentre cohort study was conducted, including children younger than 18 years with MTBI who presented within 24 hours after trauma in the ED of hospitals in the southwest region of the Netherlands, in 2014. Primary outcome measures for management were percentages of performed computed tomography (CT) scans and hospital admissions. Guideline adherence was defined as percentages of correctly following the guideline. Secondary outcome measures were differences in management and guideline adherence between hospitals. About 563 patients were analysed. Hospital admission was the most frequently performed management type (49.2% hospital admission vs. 30.9% CT). In only 49.7% of patients, the guideline was followed correctly. A substantial overuse of hospital admission (35%) and underuse of CT (40.1%) were found. Percentages of hospital admission and CT varied between 39.4-55.6% and 23.3-44.1%, respectively, across hospitals. Percentages of correctly following the guideline varied between 39.2-64.9% across hospitals. These findings suggest that physicians in the participating hosp...Continue Reading

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May 31, 2020·The Journal of Head Trauma Rehabilitation·M Irene RenaudCaroline M van Heugten
Dec 18, 2020·Revista paulista de pediatria : orgão oficial da Sociedade de Pediatria de São Paulo·Isabela Dombeck FlorianiElaine Rossi Ribeiro

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