{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,20]],"date-time":"2026-02-20T09:37:20Z","timestamp":1771580240150,"version":"3.50.1"},"reference-count":27,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2012,12,10]],"date-time":"2012-12-10T00:00:00Z","timestamp":1355097600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Emerg Medicine Australasia"],"published-print":{"date-parts":[[2013,2]]},"abstract":"Abstract<\/jats:title>Objective<\/jats:title>To compare head computed tomography (CT<\/jats:styled-content>) triggers for paediatric head injury as reported by senior paediatric emergency physicians in A<\/jats:styled-content>ustralia and N<\/jats:styled-content>ew Z<\/jats:styled-content>ealand with triggers in published evidence\u2010based clinical decision rules (CDRs<\/jats:styled-content>).<\/jats:p><\/jats:sec>Methods<\/jats:title>A survey of CT<\/jats:styled-content> triggers after head injury was distributed to senior emergency physicians at PREDICT<\/jats:styled-content> (P<\/jats:styled-content>aediatric R<\/jats:styled-content>esearch in E<\/jats:styled-content>mergency D<\/jats:styled-content>epartments I<\/jats:styled-content>nternational C<\/jats:styled-content>ollaborative) sites in A<\/jats:styled-content>ustralia and N<\/jats:styled-content>ew Z<\/jats:styled-content>ealand. Results were compared with recommendations for CT<\/jats:styled-content> scans in CATCH<\/jats:styled-content>, CHALICE<\/jats:styled-content> and PECARN CDRs<\/jats:styled-content>. Clinical practice guidelines (CPGs<\/jats:styled-content>) from each site were also reviewed.<\/jats:p><\/jats:sec>Results<\/jats:title>The response rate was 93% (130\/140). No published trigger for head CT<\/jats:styled-content> was identified by 100% of survey participants and each CDR<\/jats:styled-content> included several triggers not identified by many respondents. Abnormal examination findings, including depressed skull fracture and base of skull fracture, were most likely to prompt respondents to order a head CT<\/jats:styled-content> (>90%). A concerning mechanism of injury, such as a fall greater than 3 feet or five stairs, triggered a CT<\/jats:styled-content> response only in approximately 10% of respondents. Eight different head injury CPGs<\/jats:styled-content> were used across the 13 PREDICT<\/jats:styled-content> sites. These were highly variable between sites and CPGs<\/jats:styled-content> were not explicitly based on published CDRs<\/jats:styled-content>.<\/jats:p><\/jats:sec>Conclusion<\/jats:title>High\u2010quality, published CDRs<\/jats:styled-content> exist for head CT<\/jats:styled-content> use after paediatric head injury. Physician\u2010reported CT<\/jats:styled-content> triggers differ from CDR<\/jats:styled-content>\u2010recommended triggers. The major published head injury CDRs<\/jats:styled-content> should be prospectively validated in the A<\/jats:styled-content>ustralasian setting before incorporating them into local practice and CPGs<\/jats:styled-content>.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1742-6723.12019","type":"journal-article","created":{"date-parts":[[2012,12,12]],"date-time":"2012-12-12T02:42:45Z","timestamp":1355280165000},"page":"75-82","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":24,"title":["Triggers for head computed tomography following paediatric head injury: Comparison of physicians' reported practice and clinical decision rules"],"prefix":"10.1111","volume":"25","author":[{"given":"Francis D","family":"Lockie","sequence":"first","affiliation":[{"name":"Emergency Department The Children's Hospital at Westmead Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah","family":"Dalton","sequence":"additional","affiliation":[{"name":"Emergency Department The Children's Hospital at Westmead Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ed","family":"Oakley","sequence":"additional","affiliation":[{"name":"Murdoch Childrens Research Institute Melbourne Victoria Australia"},{"name":"The Royal Children's Hospital Melbourne Victoria Australia"},{"name":"Department of Paediatrics Monash University Clayton Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Franz E","family":"Babl","sequence":"additional","affiliation":[{"name":"Murdoch Childrens Research Institute Melbourne Victoria Australia"},{"name":"The Royal Children's Hospital Melbourne Victoria Australia"},{"name":"Department of Paediatrics The University of Melbourne Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2012,12,10]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1080\/02699050801888824"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440-1754.2009.01499.x"},{"key":"e_1_2_6_4_1","volume-title":"Traumatic Brain Injury in the United States: Emergency Department Visits, Hospitalizations and Deaths","author":"Langlois JA","year":"2004"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.2005.081901"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006565-200102000-00001"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.1.6023.1438"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2009-0692"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(12)60815-0"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra072149"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.328.7430.19"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006565-199915040-00001"},{"key":"e_1_2_6_13_1","unstructured":"National Center for Health Statistics Centers for Disease Control and Prevention.Public use data file emergency department file 2005. 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