{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,6]],"date-time":"2026-09-06T04:45:42Z","timestamp":1788669942302,"version":"build-2803163510"},"reference-count":23,"publisher":"SAGE Publications","issue":"13-14","license":[{"start":{"date-parts":[[2023,6,27]],"date-time":"2023-06-27T00:00:00Z","timestamp":1687824000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Neurotrauma"],"published-print":{"date-parts":[[2023,7]]},"abstract":"<jats:p>Blunt cerebrovascular injury (BCVI) is defined as blunt trauma to the head and neck leading to damage to the vertebral and\/or carotid arteries; debate exists regarding which children are considered at high risk for BCVI and in need of angiographic\/vessel imaging. We previously proposed a screening tool, the McGovern score, to identify pediatric trauma patients at high risk for BCVI, and we aim to validate the McGovern score by pooling data from multiple pediatric trauma centers. This is a multi-center, hospital-based, cohort study from all prospectively registered pediatric (&lt;16 years of age) trauma patients who presented to the emergency department (ED) between 2003 and 2017 at six Level 1 pediatric trauma centers. The registry was retrospectively queried for patients who received a computed tomography angiogram (CTA) as a screening method for BCVI. Age, length of follow-up, mechanism of injury (MOI), arrival Glasgow Coma Scale (GCS) score, and focal neurological deficit were recorded. Radiological variables queried were the presence of a carotid canal fracture, petrous temporal bone fracture, and CT presence of infarction. Patients with BCVI were queried for mode of treatment, type of intracranial injury, artery damaged, and BCVI injury grade. The McGovern score was calculated for all patients who underwent CTA across all data groups. A total of 1012 patients underwent CTA; 72 of these patients were found to have BCVI, 51 of which were in the validation cohort. Across all data groups, the McGovern score has a &gt;80% sensitivity (SN) and &gt;98% negative predictive value (NPV). The McGovern score for pediatric BCVI is an effective, generalizable screening tool.<\/jats:p>","DOI":"10.1089\/neu.2022.0336","type":"journal-article","created":{"date-parts":[[2022,12,15]],"date-time":"2022-12-15T00:35:56Z","timestamp":1671064556000},"page":"1451-1458","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":9,"title":["Multi-Center Validation of the McGovern Pediatric Blunt Cerebrovascular Injury Screening Score"],"prefix":"10.1177","volume":"40","author":[{"given":"Sidish S.","family":"Venkataraman","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Wake Forest Medical School, Winston-Salem, North Carolina, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph P.","family":"Herbert","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of Missouri-Columbia, Columbia, Missouri, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vijay M.","family":"Ravindra","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of Utah, Salt Lake City, Utah, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bangning N.","family":"Yu","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, McGovern Medical School at UTHealth, Houston, Texas, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert J.","family":"Bollo","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of Utah, Salt Lake City, Utah, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"suffix":"Jr","given":"Charles S.","family":"Cox","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, McGovern Medical School at UTHealth, Houston, Texas, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen R.","family":"Gannon","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Vanderbilt University, Nashville, Tennessee, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"suffix":"Jr.","given":"David D.","family":"Limbrick","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Washington University School of Medicine, St. Louis, Missouri, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert P.","family":"Naftel","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Vanderbilt University, Nashville, Tennessee, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Irma T.","family":"Ugalde","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, McGovern Medical School at UTHealth, Houston, Texas, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brian K.","family":"Yorkgitis","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, University of Florida, Jacksonville, Jacksonville, Florida, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Howard L.","family":"Weiner","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Baylor College of Medicine, Houston, Texas, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manish N.","family":"Shah","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, McGovern Medical School at UTHealth, Houston, Texas, USA."},{"name":"Department of Neurosurgery, McGovern Medical School at UTHealth, Houston, Texas, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,6,27]]},"reference":[{"key":"e_1_3_5_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9610(99)00245-7"},{"key":"e_1_3_5_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-199911000-00004"},{"key":"e_1_3_5_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2015.05.005"},{"key":"e_1_3_5_5_2","doi-asserted-by":"publisher","DOI":"10.3171\/2014.11.PEDS14397"},{"key":"e_1_3_5_6_2","doi-asserted-by":"publisher","DOI":"10.1089\/neu.2016.4415"},{"key":"e_1_3_5_7_2","doi-asserted-by":"publisher","DOI":"10.1227\/NEU.0000000000001352"},{"key":"e_1_3_5_8_2","first-page":"559","article-title":"Risk factors for blunt cerebrovascular injury in children: do they mimic those seen in adults?","volume":"71","author":"Kopelman TR","year":"2011","unstructured":"Kopelman TR, , Berardoni NE, , O'Neill PJ, et al. Risk factors for blunt cerebrovascular injury in children: do they mimic those seen in adults?. 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Blunt cerebrovascular injury practice management guidelines: the Eastern Association for the Surgery of Trauma. J Trauma, 2010; 68(2):471\u2013477.","journal-title":"J Trauma"},{"key":"e_1_3_5_17_2","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0b013e3182ab1b4d"},{"key":"e_1_3_5_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2014.01.042"},{"key":"e_1_3_5_19_2","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.2009.111"},{"key":"e_1_3_5_20_2","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.139.5.540"},{"key":"e_1_3_5_21_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2010.12.035"},{"key":"e_1_3_5_22_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2009.10.108"},{"key":"e_1_3_5_23_2","first-page":"2337","article-title":"et al","volume":"43","author":"Weber CD","year":"2019","unstructured":"Weber CD, , Lefering R, , Weber MS. et al. Predictors for pediatric blunt cerebrovascular injury (BCVI): an international multicenter analysis. 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