{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,13]],"date-time":"2026-04-13T19:44:32Z","timestamp":1776109472269,"version":"3.50.1"},"reference-count":29,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"6","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":["Pediatr Emer Care"],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:sec>\n            <jats:title>Objective<\/jats:title>\n            <jats:p>The aim of the study is to evaluate predictors of clinically important neuroimaging results, that is, computed tomography and magnetic resonance imaging in children in an academic pediatric emergency department (PED) from 2015 to 2019.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods<\/jats:title>\n            <jats:p>This study was conducted in an academic PED. The patient's demographic and clinical characteristics of PED visits and neuroimaging findings requested at the PED were recorded for January 1, 2015, to December 31, 2019. In addition, descriptive statistics and logistic regression analyses were conducted. We described and determined the predictors of clinically important neuroimaging findings in children.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results<\/jats:title>\n            <jats:p>Clinically important neuroimaging findings were detected in patients with blurred vision (<jats:italic toggle=\"yes\">P<\/jats:italic> = 0.001), ataxia (<jats:italic toggle=\"yes\">P<\/jats:italic> = 0.003), unilateral weakness (<jats:italic toggle=\"yes\">P<\/jats:italic> = 0.004), and altered level of consciousness (<jats:italic toggle=\"yes\">P<\/jats:italic> = 0.026). Clinically important neuroimaging was found 9.4 times higher in patients with altered level of consciousness, 7.4 times higher in patients with focal weakness, 4.6 times higher in patients with blurred vision, and 3.5 times more in patients presenting with ataxia.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p>Advanced neuroimaging, especially for selected patients in PED, can improve the quality of health care for patients. On the other hand, irrelevant neuroimaging findings can lead physicians away from prompt diagnosis and accurate management. According to our study, advanced neuroimaging can be performed in the early period for both diagnosis and early treatment, especially in selected patients with ataxia, blurred vision, altered consciousness, and unilateral weakness. In other cases, clinicians may find more supporting evidence.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1097\/pec.0000000000003203","type":"journal-article","created":{"date-parts":[[2024,4,8]],"date-time":"2024-04-08T10:00:28Z","timestamp":1712570428000},"page":"474-479","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Predictors of Clinically Important Neuroimaging Findings in Children Presenting Pediatric Emergency Department"],"prefix":"10.1097","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7612-2723","authenticated-orcid":false,"given":"Emre","family":"Gungor","sequence":"first","affiliation":[{"name":"Division of Pediatric Emergency Medicine, Department of Pediatrics"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1813-275X","authenticated-orcid":false,"given":"Goknur","family":"Haliloglu","sequence":"additional","affiliation":[{"name":"Division of Pediatric Neurology, Department of Pediatrics"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9294-4305","authenticated-orcid":false,"given":"Dilek","family":"Yalnizoglu","sequence":"additional","affiliation":[{"name":"Division of Pediatric Neurology, Department of Pediatrics"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3385-4665","authenticated-orcid":false,"given":"Kader Karli","family":"Oguz","sequence":"additional","affiliation":[{"name":"Department of Radiology, Hacettepe University Faculty of Medicine, Ankara, Turkey."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1856-0500","authenticated-orcid":false,"given":"Ozlem","family":"Teksam","sequence":"additional","affiliation":[{"name":"Division of Pediatric Emergency Medicine, Department of Pediatrics"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","published-online":{"date-parts":[[2024,4,8]]},"reference":[{"key":"bib1-20250504","doi-asserted-by":"crossref","first-page":"1581","DOI":"10.2214\/AJR.08.1622","article-title":"Do clinicians use the American College of Radiology Appropriateness criteria in the management of their patients?","volume":"192","year":"2009","journal-title":"AJR Am J Roentgenol"},{"key":"bib2-20250504","doi-asserted-by":"crossref","first-page":"2277","DOI":"10.1056\/NEJMra072149","article-title":"Computed tomography\u2014an increasing source of radiation exposure","volume":"357","year":"2007","journal-title":"N Engl J 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