{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T12:41:09Z","timestamp":1790167269988,"version":"4.1.0"},"reference-count":21,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"12","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":["Pediatr Emer Care"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:sec>\n            <jats:title>Background<\/jats:title>\n            <jats:p>Head trauma is one of the most common reasons for pediatric emergency medicine department (PED) visits. Computerized tomography (CT) scan is considered the criterion standard for the diagnosis of traumatic brain injury but was shown to increases the risk of malignancies.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods<\/jats:title>\n            <jats:p>We retrospectively analyzed collected data of all children (ages 0\u201316 years) experiencing mild head trauma who were admitted to a single center, from January 1, 2010, to December 31, 2015. Comparison between patients treated by pediatricians\/pediatric emergency medicine physicians (PEMP) with those treated by surgeons regarding CT rates and prognosis was done.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results<\/jats:title>\n            <jats:p>During the previously mentioned period, 4232 children presented to the PED after minor head trauma, the average age was 5.4 (\u00b14) years and 67.1% were male. Head CT was done in 7.7%, of which 30.7% had positive findings. Younger children tended to have higher percentage of positive findings on CT scan (60%, 43.8%, 26.6%, <jats:italic toggle=\"yes\">P<\/jats:italic> = 0.003, for children up to 5 months, 5\u201324 months, and older than 24 months, respectively). Pediatricians ordered less CT scans when compared with surgeons (5.4% vs 8.5%, <jats:italic toggle=\"yes\">P<\/jats:italic> &lt; 0.001). Moreover, they had higher rates of positive findings on CT scan (52.5% vs 25.8%, <jats:italic toggle=\"yes\">P<\/jats:italic> &lt; 0.001). When all other characteristics were similar, if the case manager was a pediatrician, the patient's chances to undergo a CT scan were 4.3 times lower than if the case manager was a surgeon (odds ratio, 4.277; confidence interval, 2.274\u20137.104). No difference in readmissions or other complications were found between the 2 groups.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Discussion<\/jats:title>\n            <jats:p>This study highlights that when the case manager of children with minor head trauma is a pediatrician\/PEMP, CT scan rates and thus exposure to radiation are diminished without a failure to detect clinically important traumatic brain injury.<\/jats:p>\n            <jats:p>In conclusion, our findings suggest that when possible, all children experiencing minor head trauma should be treated by a pediatrician\/PEMP in the PED.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1097\/pec.0000000000002143","type":"journal-article","created":{"date-parts":[[2020,6,22]],"date-time":"2020-06-22T07:51:21Z","timestamp":1592812281000},"page":"e1642-e1645","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":3,"title":["Pediatricians as Case Managers Reduce the Exposure to Computerized Tomography in Children Experiencing Minor Head Trauma"],"prefix":"10.1097","volume":"37","author":[{"given":"Yuri","family":"Fishman","sequence":"first","affiliation":[{"name":"Department of General Surgery, Hadassah and Hebrew University Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Itai","family":"Gross","sequence":"additional","affiliation":[{"name":"Department of Pediatric Emergency Medicine, Hadassah Medical Center, Jerusalem"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saar","family":"Hashavya","sequence":"additional","affiliation":[{"name":"Department of Pediatric Emergency Medicine, Hadassah Medical Center, Jerusalem"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Menachem","family":"Benifla","sequence":"additional","affiliation":[{"name":"Unit of Pediatric Neurosurgery, Rambam Hospital, Haifa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ariel","family":"Tenenbaum","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Hadassah Medical Center, Jerusalem, Israel."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Rekhtman","sequence":"additional","affiliation":[{"name":"Department of Pediatric Emergency Medicine, Hadassah Medical Center, Jerusalem"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2020,6,19]]},"reference":[{"key":"bib1-20250504","doi-asserted-by":"crossref","first-page":"527","DOI":"10.1136\/archdischild-2015-308424","article-title":"Epidemiology of children with head injury: a national overview","volume":"101","year":"2016","journal-title":"Arch Dis Child"},{"key":"bib3-20250504","first-page":"375","article-title":"The epidemiology and impact of traumatic brain injury: a brief 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