{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T00:26:50Z","timestamp":1747182410324,"version":"3.40.5"},"reference-count":25,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2022,11,2]],"date-time":"2022-11-02T00:00:00Z","timestamp":1667347200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/100016557","name":"Auckland DHB Charitable Trust","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100016557","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001511","name":"Auckland Medical Research Foundation","doi-asserted-by":"publisher","award":["3112011"],"award-info":[{"award-number":["3112011"]}],"id":[{"id":"10.13039\/501100001511","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100002076","name":"Emergency Medicine Foundation","doi-asserted-by":"publisher","award":["EMPJ\u201011162"],"award-info":[{"award-number":["EMPJ\u201011162"]}],"id":[{"id":"10.13039\/100002076","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001505","name":"Health Research Council of New Zealand","doi-asserted-by":"publisher","award":["HRC13\/556"],"award-info":[{"award-number":["HRC13\/556"]}],"id":[{"id":"10.13039\/501100001505","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","award":["GNT1058560","GNT1046727"],"award-info":[{"award-number":["GNT1058560","GNT1046727"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100014607","name":"RCH Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100014607","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100014555","name":"MCRI","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100014555","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100015447","name":"Auckland District Health Board","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100015447","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Emerg Medicine Australasia"],"published-print":{"date-parts":[[2023,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Incidence and short\u2010term outcomes of clinically important traumatic brain injury (ciTBI) in head\u2010injured children presenting to ED with post\u2010traumatic seizure (PTS) is not described in current literature.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Planned secondary analysis of a prospective observational study undertaken in 10 Australasian Paediatric Research in Emergency Departments International Collaborative (PREDICT) network EDs between 2011 and 2014 of head\u2010injured children &lt;18\u2009years with and without PTS. Clinical predictors and outcomes were analysed by attributable risk (AR), risk ratios (RR) and 95% confidence interval (CI), including the association with Glasgow Coma Scale (GCS) scores.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 20\u2009137 head injuries, 336 (1.7%) had PTS with median age of 4.8\u2009years. Initial GCS was 15 in 268\/336 (79.8%, AR \u221216.1 [95% CI \u221220.4 to \u221211.8]), 14 in 24\/336 (7.1%, AR 4.4 [95% CI 1.6\u20137.2]) and \u226413 in 44\/336 (13.1%, AR 11.7 [95% CI 8.1\u201315.3]) in comparison with those without PTS, respectively. The ciTBI rate was 34 (10.1%) with PTS <jats:italic>versus<\/jats:italic> 219 (1.1%) without PTS (AR 9.0 [95% CI 5.8\u201312.2]) with 5\/268 (1.9%), 6\/24 (25.0%) and 23\/44 (52.3%) with GCS 15, 14 and \u226413, respectively. In PTS, rates of admission \u22652 nights (34 [10.1%] AR 9.0 [95% CI 5.8\u201312.3]), intubation &gt;24\u2009h (9 [2.7%] AR 2.5 [95% CI 0.8\u20134.2]) and neurosurgery (8 [2.4%] AR 2.0 [95% CI 0.4\u20133.7]), were higher than those without PTS. Children with PTS and GCS 15 or 14 had no neurosurgery, intubations or death, with two deaths in children with PTS and GCS \u226413.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>PTS was uncommon in head\u2010injured children presenting to the ED but associated with an increased risk of ciTBI in those with reduced GCS on arrival.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1742-6723.14112","type":"journal-article","created":{"date-parts":[[2022,11,3]],"date-time":"2022-11-03T00:20:14Z","timestamp":1667434814000},"page":"289-296","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Incidence of traumatic brain injuries in head\u2010injured children with seizures"],"prefix":"10.1111","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5326-5008","authenticated-orcid":false,"given":"Meredith L","family":"Borland","sequence":"first","affiliation":[{"name":"Emergency Department Perth Children's Hospital  Perth Western Australia Australia"},{"name":"Divisions of Paediatrics and Emergency Medicine, School of Medicine The University of Western Australia  Perth Western Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stuart R","family":"Dalziel","sequence":"additional","affiliation":[{"name":"Children's Emergency Department Starship Children's Hospital  Auckland New Zealand"},{"name":"Departments of Surgery and Paediatrics: Child and Youth Health The University of Auckland  Auckland New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Natalie","family":"Phillips","sequence":"additional","affiliation":[{"name":"Emergency Department Queensland Children's Hospital  Brisbane Queensland Australia"},{"name":"Child Health Research Centre, School of Medicine The University of Queensland  Brisbane Queensland 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":"Mark D","family":"Lyttle","sequence":"additional","affiliation":[{"name":"Emergency Department Bristol Royal Hospital for Children  Bristol UK"},{"name":"Academic Department of Emergency Care University of the West of England  Bristol UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Silvia","family":"Bressan","sequence":"additional","affiliation":[{"name":"Department of Women's and Children's Health University of Padova  Padova Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3712-6200","authenticated-orcid":false,"given":"Ed","family":"Oakley","sequence":"additional","affiliation":[{"name":"Emergency Department The Royal Children's Hospital  Melbourne Victoria Australia"},{"name":"Department of Paediatrics and Centre for Integrated Critical Care, Faculty of Medicine, Dentistry and Health Sciences The University of Melbourne  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amit","family":"Kochar","sequence":"additional","affiliation":[{"name":"Emergency Department Women's and Children's Hospital  Adelaide South Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeremy","family":"Furyk","sequence":"additional","affiliation":[{"name":"Emergency Department The Townsville Hospital  Townsville Queensland Australia"},{"name":"School of Medicine Deakin University  Melbourne Victoria Australia"},{"name":"University Hospital Geelong  Geelong Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3615-3821","authenticated-orcid":false,"given":"John A","family":"Cheek","sequence":"additional","affiliation":[{"name":"Emergency Department The Royal Children's Hospital  Melbourne Victoria Australia"},{"name":"Department of Paediatrics and Centre for Integrated Critical Care, Faculty of Medicine, Dentistry and Health Sciences The University of Melbourne  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jocelyn","family":"Neutze","sequence":"additional","affiliation":[{"name":"Emergency Department Kidz First Children's Hospital  Auckland New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nitaa","family":"Eapen","sequence":"additional","affiliation":[{"name":"Murdoch Children's Research Institute  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephen JC","family":"Hearps","sequence":"additional","affiliation":[{"name":"Murdoch Children's Research Institute  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vanessa C","family":"Rausa","sequence":"additional","affiliation":[{"name":"Murdoch Children's Research Institute  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1107-2187","authenticated-orcid":false,"given":"Franz E","family":"Babl","sequence":"additional","affiliation":[{"name":"Emergency Department The Royal Children's Hospital  Melbourne Victoria Australia"},{"name":"Department of Paediatrics and Centre for Integrated Critical Care, Faculty of Medicine, Dentistry and Health Sciences The University of Melbourne  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"the Paediatric Research in Emergency Departments International Collaborative (PREDICT) 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