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The study was a secondary data analysis of a public\u2010use dataset from the largest prospective, multicenter pediatric head injury study found in the current literature. An existing, validated clinical decision rule was examined using a sample of 3,329 children under age 2 to determine whether it, or the individual variables within it, could be utilized alone, or in conjunction with other variables to accurately predict the risk of underlying CHI in this sample. Results indicated that the keys to an accurate triage assessment for children under age 2 with suspected minor head injuries include the ability to identify the specific skull region injured, the ability to assess for the presence and size of any scalp hematoma, the ability to identify signs of altered mental status in this age group, and having access to accurate information regarding the child's age and the details of the injury mechanism. The findings from this study add to the body of knowledge regarding what factors are associated with CHI in children under age 2 with suspected minor head injuries and could be used to inform age\u2010specific recommendations for children under age 2 in triage, educational resources, and national trauma criteria.<\/jats:p>","DOI":"10.1002\/nur.21993","type":"journal-article","created":{"date-parts":[[2019,11,6]],"date-time":"2019-11-06T04:13:13Z","timestamp":1573013593000},"page":"28-39","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["A secondary analysis to inform a clinical decision rule for predicting skull fracture and intracranial injury in children under age 2"],"prefix":"10.1002","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1144-5681","authenticated-orcid":false,"given":"Elizabeth L.","family":"Stone","sequence":"first","affiliation":[{"name":"Undergraduate Division University of North Carolina at Chapel Hill School of Nursing  Chapel Hill North Carolina"},{"name":"WakeMed Children's Emergency Department WakeMed Health &amp; Hospitals  Raleigh North Carolina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leslie L.","family":"Davis","sequence":"additional","affiliation":[{"name":"PhD Division University of North Carolina at Chapel Hill School of Nursing  Chapel Hill North Carolina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas P.","family":"McCoy","sequence":"additional","affiliation":[{"name":"Department of Family and Community Nursing University of North Carolina Greensboro School of Nursing  Greensboro North Carolina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Debbie","family":"Travers","sequence":"additional","affiliation":[{"name":"PhD Division University of North Carolina at Chapel Hill School of Nursing  Chapel Hill North Carolina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elizabeth","family":"Van Horn","sequence":"additional","affiliation":[{"name":"Department of Adult Health Nursing University of North Carolina Greensboro School of Nursing  Greensboro North Carolina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Heidi V.","family":"Krowchuk","sequence":"additional","affiliation":[{"name":"Department of Family and Community Nursing University of North Carolina at Greensboro School of Nursing  Greensboro North Carolina"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,11,5]]},"reference":[{"volume-title":"Emergency Severity Index (ESI): A Triage Tool for Emergency Departments","year":"2018","author":"Agency for Healthcare Research and Quality","key":"e_1_2_8_2_1"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/acem.12923"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.7748\/ns.26.43.49.s52"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/PEC.0b013e3181ef0440"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/acem.12957"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1136\/archdischild-2014-307119"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.annemergmed.2014.01.009"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.annemergmed.2014.02.003"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.annemergmed.2014.01.030"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006565-200104000-00002"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jen.2013.07.001"},{"issue":"2","key":"e_1_2_8_13_1","first-page":"627","article-title":"Receiver operating characteristic (ROC) curve analysis for medical diagnostic test evaluation","volume":"4","author":"Hajian\u2010Tilaki K.","year":"2013","journal-title":"Caspian Journal of Internal Medicine"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2013.07.021"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1136\/archdischild-2014-306803"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(09)61558-0"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1997.03540300056034"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapediatrics.2014.361"},{"volume-title":"Strange and Schafermeyer's Pediatric Emergency Medicine","year":"2014","author":"Mahajan P.","key":"e_1_2_8_19_1"},{"key":"e_1_2_8_20_1","unstructured":"National Institute of Health National Institute of Neurological Disorders and Stroke(2019).Traumatic Brain Injury Information Page. 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