{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T11:17:38Z","timestamp":1780571858728,"version":"3.54.1"},"reference-count":10,"publisher":"Georg Thieme Verlag KG","issue":"01","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Klin Padiatr"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background Minor head trauma is a common reason for emergency department\n                    visits in children, but many of these cases are not clinically significant.\n                    Despite established criteria for selecting patients who require computed\n                    tomography (CT), concerns about overuse of CT persist. This study aimed to\n                    determine the frequency of clinically important traumatic brain injury by\n                    retrospectively evaluating cranial CT scans in children categorized as very low\n                    risk for such injuries based on PECARN prediction rules.<\/jats:p><jats:p>\n          Materials and Methods Cranial CT scans of 941 minor head trauma cases were\n                    assessed for the presence, type, and number of calvarial bone fractures.\n                    Concomitant bleeding and treatment approaches were also recorded.<\/jats:p><jats:p>\n          Results Among 881 patients (93.6%), cranial CT scans did not\n                    reveal any lesions apart from soft tissue edema. None of the cases had\n                    clinically important traumatic brain injury or required neurosurgical\n                    intervention.<\/jats:p><jats:p>\n          Discussion and conclusion The study demonstrated that 93.6% of\n                    cranial CT scans for pediatric minor head trauma were negative, indicating a\n                    concerningly high rate of CT overuse. Although prediction rules exist, their\n                    application in clinical practice is not always optimal. Given the principle of\n                    \u201cfirst, do no harm,\u201d proper patient selection is crucial to\n                    avoid unnecessary exposure to ionizing radiation.<\/jats:p>","DOI":"10.1055\/a-2156-9780","type":"journal-article","created":{"date-parts":[[2023,10,10]],"date-time":"2023-10-10T22:58:25Z","timestamp":1696978705000},"page":"11-15","source":"Crossref","is-referenced-by-count":4,"title":["Computed Tomography Overuse in Pediatric Minor Head Trauma: Insights\n                    from a Single-Center Experience"],"prefix":"10.1055","volume":"236","author":[{"given":"Derya","family":"Bako","sequence":"additional","affiliation":[{"name":"Pediatric Radiology, Van Training and Research Hospital, Erdremit,\n                    Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Utku","family":"\u00d6zer","sequence":"additional","affiliation":[{"name":"Pediatric Emergency Medicine, Van Training and Research Hospital,\n                    Erdremit, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Engin","family":"Beydo\u011fan","sequence":"additional","affiliation":[{"name":"Department of Radiology, Van Training and Research Hospital, Erdremit,\n                    Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2023,10,10]]},"reference":[{"key":"ref1","first-page":"378","article-title":"How necessary is the computerized brain tomography in minor head trauma?","volume":"25","author":"S Y\u0131ld\u0131zhan","year":"2019","journal-title":"Ulus Travma Acil Cerrahi Derg"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1016\/B978-0-444-52892-6.00001-5","article-title":"Epidemiology of traumatic brain injury","volume":"127","author":"M Faul","year":"2015","journal-title":"Handb Clin Neurol"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"1160","DOI":"10.1016\/S0140-6736(09)61558-0","article-title":"Pediatric Emergency Care Applied Research Network (PECARN). 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Derivation of the children\u2019s head injury\n                    algorithm for the prediction of important clinical events decision rule for head\n                    injury in children","volume":"91","author":"J Dunning","year":"2006","journal-title":"Arch Dis Child"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"341","DOI":"10.1503\/cmaj.091421","article-title":"CATCH: a clinical decision rule for the use of computed tomography in children\n                    with minor head injury","volume":"182","author":"M H Osmond","year":"2010","journal-title":"CMAJ."},{"key":"ref7","doi-asserted-by":"crossref","first-page":"606","DOI":"10.6061\/clinics\/2016(10)09","article-title":"Pediatric minor head trauma: do cranial CT scans change the therapeutic\n                    approach?","volume":"71","author":"F P Andrade","year":"2016","journal-title":"Clinics (Sao Paulo)"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"1063","DOI":"10.1007\/s00381-012-1717-9","article-title":"Brain CT scan for pediatric minor accidental head injury. An Italian experience\n                    and review of literature","volume":"28","author":"C Fundar\u00f2","year":"2012","journal-title":"Childs Nerv Syst"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"289","DOI":"10.2214\/ajr.176.2.1760289","article-title":"Estimated risks of radiation-induced fatal cancer from pediatric CT","volume":"176","author":"D Brenner","year":"2001","journal-title":"AJR Am J Roentgenol"},{"key":"ref10","doi-asserted-by":"crossref","first-page":"145","DOI":"10.1016\/j.annemergmed.2014.01.030","article-title":"Comparison of PECARN, CATCH, and CHALICE rules for children with minor head\n                    injury: a prospective cohort study","volume":"64","author":"J S Easter","year":"2014","journal-title":"Ann Emerg Med"}],"container-title":["Klinische P\u00e4diatrie"],"original-title":[],"language":"de","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2156-9780.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,5]],"date-time":"2024-11-05T13:36:15Z","timestamp":1730813775000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2156-9780"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,10,10]]},"references-count":10,"journal-issue":{"issue":"01","published-online":{"date-parts":[[2024,1,22]]},"published-print":{"date-parts":[[2024,1]]}},"URL":"https:\/\/doi.org\/10.1055\/a-2156-9780","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0300-8630","1439-3824"],"issn-type":[{"value":"0300-8630","type":"print"},{"value":"1439-3824","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,10,10]]}}}