{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,18]],"date-time":"2026-05-18T17:06:13Z","timestamp":1779123973889,"version":"3.51.4"},"reference-count":19,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2018,5,10]],"date-time":"2018-05-10T00:00:00Z","timestamp":1525910400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Paediatrics Child Health"],"published-print":{"date-parts":[[2018,11]]},"abstract":"<jats:sec><jats:title>Aim<\/jats:title><jats:p>To review the investigation, patterns of injury and short\u2010term outcomes of infants younger than 12\u2009months of age who presented more than 24\u2009h after head injury with an isolated scalp haematoma.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective chart review of infants who presented with a head injury to the emergency department of a major paediatric hospital between 2006 and 2016. Patients were included if they presented more than 24\u2009h after the injury, were clinically well and had a documented scalp haematoma. Charts were abstracted using a standardised instrument to yield patient characteristics, mechanism of injury, imaging performed, identified injuries and patient outcome.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 2433 records were reviewed, with 157 included in the study. The mean age was 7.5 months (standard deviation 2.6). Of the patients, 14 had a documented palpable skull fracture; 43 patients had a skull X\u2010ray reported as a fracture; 13 patients had cranial ultrasounds with 3 reported as having a fracture; 124 patients had computed tomography head imaging, with 112 demonstrating a fracture; and 52 patients had acute intracranial abnormalities. There were nine unplanned representations (5.7%). No patients required any neurosurgical intervention.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Infants presenting after 24\u2009h with isolated scalp haematomas had good short\u2010term outcomes despite a high prevalence of underlying injury on imaging. Expectant management, rather than imaging, may be a valid approach in this patient population. However, some of these injuries may have been the result of inflicted injury, and all of these patients require a robust assessment regardless of the decision to use a computed tomography scan.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jpc.13932","type":"journal-article","created":{"date-parts":[[2018,5,11]],"date-time":"2018-05-11T04:20:19Z","timestamp":1526012419000},"page":"1193-1198","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Trial of life: Well infants presenting more than 24 h after head injury with a scalp haematoma: A 10\u2010year review"],"prefix":"10.1111","volume":"54","author":[{"given":"Ahilan","family":"Parameswaran","sequence":"first","affiliation":[{"name":"Emergency Department Children's Hospital at Westmead  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shmuel","family":"Heitner","sequence":"additional","affiliation":[{"name":"Emergency Department Children's Hospital at Westmead  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Deepali","family":"Thosar","sequence":"additional","affiliation":[{"name":"Emergency Department Children's Hospital at Westmead  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adam","family":"Fowler","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery Children's Hospital at Westmead  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Susan","family":"Marks","sequence":"additional","affiliation":[{"name":"Child Protection Unit Children's Hospital at Westmead  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5365-2462","authenticated-orcid":false,"given":"Fenton","family":"O'Leary","sequence":"additional","affiliation":[{"name":"Emergency Department Children's Hospital at Westmead  Sydney New South Wales Australia"},{"name":"Disciplines of Emergency Medicine and Paediatrics and Child Health Sydney Medical School, University of Sydney  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,5,10]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph14040414"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12873-016-0071-8"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1136\/archdischild-2015-308615"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1136\/adc.2005.083980"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13054-016-1318-1"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(09)61558-0"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1503\/cmaj.091421"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.104.4.861"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/acem.12957"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.annemergmed.2014.02.003"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2009-0692"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00381-016-3332-7"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1136\/archdischild-2015-309078"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599814542588"},{"key":"e_1_2_8_16_1","volume-title":"Communicating Radiation Risks in Paediatric Imaging","author":"World Health Organization","year":"2016"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006565-200104000-00002"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1001\/archpedi.153.1.15"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2015-0356"},{"key":"e_1_2_8_20_1","unstructured":"NSW Health: Family and Community Services.Mandatory Reporting Guide. 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