{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T10:17:57Z","timestamp":1786616277155,"version":"build-2736575974"},"reference-count":23,"publisher":"American Academy of Pediatrics (AAP)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2015,3,1]]},"abstract":"<jats:sec>\n                  <jats:title>OBJECTIVE:<\/jats:title>\n                  <jats:p>To determine the risk of traumatic brain injuries (TBIs) in children with headaches after minor blunt head trauma, particularly when the headaches occur without other findings suggestive of TBIs (ie, isolated headaches).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>METHODS:<\/jats:title>\n                  <jats:p>This was a secondary analysis of a prospective observational study of children 2 to 18 years with minor blunt head trauma (ie, Glasgow Coma Scale scores of 14\u201315). Clinicians assessed the history and characteristics of headaches at the time of initial evaluation, and documented findings onto case report forms. Our outcome measures were (1) clinically important TBI (ciTBI) and (2) TBI visible on computed tomography (CT).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>RESULTS:<\/jats:title>\n                  <jats:p>Of 27\u2009495 eligible patients, 12\u2009675 (46.1%) had headaches. Of the 12\u2009567 patients who had complete data, 2462 (19.6%) had isolated headaches. ciTBIs occurred in 0 of 2462 patients (0%; 95% confidence interval [CI]: 0%\u20130.1%) in the isolated headache group versus 162 of 10\u2009105 patients (1.6%; 95% CI: 1.4%\u20131.9%) in the nonisolated headache group (risk difference, 1.6%; 95% CI: 1.3%\u20131.9%). TBIs on CT occurred in 3 of 456 patients (0.7%; 95% CI: 0.1%\u20131.9%) in the isolated headache group versus 271 of 6089 patients (4.5%; 95% CI: 3.9%\u20135.0%) in the nonisolated headache group (risk difference, 3.8%; 95% CI: 2.3%\u20134.5%). We found no significant independent associations between the risk of ciTBI or TBI on CT with either headache severity or location.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>CONCLUSIONS:<\/jats:title>\n                  <jats:p>ciTBIs are rare and TBIs on CT are very uncommon in children with minor blunt head trauma when headaches are their only sign or symptom.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1542\/peds.2014-2695","type":"journal-article","created":{"date-parts":[[2015,2,3]],"date-time":"2015-02-03T06:11:55Z","timestamp":1422943915000},"page":"504-512","source":"Crossref","is-referenced-by-count":28,"title":["Headache in Traumatic Brain Injuries From Blunt Head Trauma"],"prefix":"10.1542","volume":"135","author":[{"given":"Peter S.","family":"Dayan","sequence":"first","affiliation":[{"name":"Division of Pediatric Emergency Medicine, Morgan Stanley Children\u2019s Hospital, Columbia University College of Physicians and Surgeons, New York, New York;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James F.","family":"Holmes","sequence":"additional","affiliation":[{"name":"Departments of Emergency Medicine, and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"suffix":"Jr","given":"John","family":"Hoyle","sequence":"additional","affiliation":[{"name":"Division of Emergency Medicine, Helen DeVos Children\u2019s Hospital, Grand Rapids, Michigan;"},{"name":"Department of Emergency Medicine, Michigan State University, East Lansing, Michigan;"},{"name":"Departments of Emergency Medicine, and"},{"name":"Pediatrics, School of Medicine, Western Michigan University, Kalamazoo, Michigan;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shireen","family":"Atabaki","sequence":"additional","affiliation":[{"name":"Departments of Pediatrics, and"},{"name":"Emergency Medicine, Children\u2019s National Medical Center, School of Medicine, George Washington University, Washington, District of Columbia;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael G.","family":"Tunik","sequence":"additional","affiliation":[{"name":"Departments of Pediatrics, and"},{"name":"Emergency Medicine, School of Medicine, New York University, New York, New York;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard","family":"Lichenstein","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, School of Medicine, University of Maryland, Baltimore, Maryland; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michelle","family":"Miskin","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, School of Medicine, University of Utah, Salt Lake City, Utah"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nathan","family":"Kuppermann","sequence":"additional","affiliation":[{"name":"Departments of Emergency Medicine, and"},{"name":"Pediatrics, University of California Davis School of Medicine, Sacramento, California;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"for the Pediatric Emergency Care Applied Research Network (PECARN)","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"417","published-online":{"date-parts":[[2015,3,1]]},"reference":[{"key":"2021121016274185400_B1","unstructured":"National Center for Injury Prevention and Control. 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