{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T11:43:51Z","timestamp":1778845431409,"version":"3.51.4"},"reference-count":46,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2019,12,23]],"date-time":"2019-12-23T00:00:00Z","timestamp":1577059200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","award":["GNT1046727"],"award-info":[{"award-number":["GNT1046727"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","award":["GNT1058560"],"award-info":[{"award-number":["GNT1058560"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Paediatrics Child Health"],"published-print":{"date-parts":[[2020,5]]},"abstract":"<jats:sec><jats:title>Aim<\/jats:title><jats:p>To characterise the causes, clinical characteristics and short\u2010term outcomes of neonates who presented to paediatric emergency departments with a head injury.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Secondary analysis of a prospective data set of paediatric head injuries at 10 emergency departments in Australia and New Zealand. Patients without neuroimaging were followed up by telephone call. We extracted epidemiological information, clinical findings and outcomes in neonates (\u226428\u2009days).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 20\u2009137 children with head injuries, 93 (0.5%) occurred in neonates. These were mostly fall\u2010related (75.2%), commonly from a care giver's arms, or due to being accidentally struck by a person\/object (20.4%). There were three cases of non\u2010accidental head injuries (3.2%). Most neonates were asymptomatic (67.7%) and many had no findings on examination (47.3%). Most neonates had a Glasgow Coma Scale 15 (89.2%) or 14 (7.5%). A total of 15.1% presented with vomiting and 5.4% were abnormally drowsy. None had experienced a loss of consciousness. The most common findings on examination were scalp haematoma (28.0%) and possible palpable skull fracture (6.5%); 8.6% underwent computed tomography brain scan and 4.3% received an ultrasound. Five of eight computed tomography scan (5.4% of neonates overall) showed traumatic brain injury and two of four (2.2% overall) had traumatic brain injury on ultrasound. Thirty\u2010seven percent were admitted, one patient was intubated and none had neurosurgery or died.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Neonatal head injuries are rare with a mostly benign short\u2010term outcome and are appropriate for observation. However, non\u2010accidental injuries need to be considered.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jpc.14736","type":"journal-article","created":{"date-parts":[[2019,12,23]],"date-time":"2019-12-23T11:23:18Z","timestamp":1577100198000},"page":"764-769","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Neonatal head injuries: A prospective Paediatric Research in Emergency Departments International Collaborative cohort study"],"prefix":"10.1111","volume":"56","author":[{"given":"Nitaa","family":"Eapen","sequence":"first","affiliation":[{"name":"Emergency Department Royal Children's Hospital  Melbourne Victoria Australia"},{"name":"Murdoch Children's Research Institute  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Meredith L","family":"Borland","sequence":"additional","affiliation":[{"name":"Emergency Department Perth Children's Hospital  Perth Western Australia 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