{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T14:07:32Z","timestamp":1785506852208,"version":"3.56.0"},"reference-count":19,"publisher":"Akademiai Kiado Zrt.","issue":"23","content-domain":{"domain":["www.akjournals.com"],"crossmark-restriction":true},"short-container-title":["OH"],"published-print":{"date-parts":[[2026,6,7]]},"abstract":"<jats:p>\n                    <jats:italic>Bevezet\u00e9s:<\/jats:italic>\n                    Magyarorsz\u00e1gon a gyermekek k\u00f6nny\u0171 fejs\u00e9r\u00fcl\u00e9s\u00e9t t\u00f6bb\n                    szakma k\u00e9pvisel\u0151i l\u00e1tj\u00e1k el a helyi szok\u00e1soknak megfelel\u0151en. Gyakran\n                    rutinszer\u0171en k\u00e9sz\u00fcl koponya-r\u00f6ntgenfelv\u00e9tel, szemben a nemzetk\u00f6zi gyakorlattal.\n                    <jats:italic>C\u00e9lkit\u0171z\u00e9s:<\/jats:italic>\n                    C\u00e9lunk a kor\u00e1bbi \u00e9s a 2020-t\u00f3l bevezetett, a\n                    k\u00f6nny\u0171 fejs\u00e9r\u00fcltek ell\u00e1t\u00e1s\u00e1ra vonatkoz\u00f3 int\u00e9zeti protokoll vizsg\u00e1lata.\n                    <jats:italic>M\u00f3dszer:<\/jats:italic>\n                    Retrospekt\u00edv, megfigyel\u00e9sen alapul\u00f3\n                    kohorszvizsg\u00e1lat t\u00f6rt\u00e9nt 2018 \u00e9s 2022 k\u00f6z\u00f6tt a Heim P\u00e1l Orsz\u00e1gos\n                    Gyermekgy\u00f3gy\u00e1szati Int\u00e9zetben. 2020 el\u0151tt minden fejs\u00e9r\u00fclt gyermeket a\n                    gyermektraumatol\u00f3giai ambulanci\u00e1n l\u00e1ttak el, rutinszer\u0171en t\u00f6rt\u00e9nt\n                    koponya-r\u00f6ntgenvizsg\u00e1lat. A 2020-ban bevezetett protokoll a k\u00f6nny\u0171 fejs\u00e9r\u00fcltek\n                    eset\u00e9n m\u00e1r nem k\u00f6vetelte meg ezt. K\u00e9t csoportra osztott\u00e1k a betegeket: az A\n                    csoportba a 2018\u20132019, m\u00edg a B csoportba a 2021\u20132022 k\u00f6z\u00f6tt ell\u00e1tottak ker\u00fcltek.\n                    Bev\u00e1laszt\u00e1si krit\u00e9rium volt a 0\u201318 \u00e9ves \u00e9letkor, az izol\u00e1lt, k\u00f6nny\u0171 fejs\u00e9r\u00fcl\u00e9s.\n                    Az elv\u00e9gzett r\u00f6ntgenvizsg\u00e1latokat, a j\u00e1r\u00f3betegek vagy oszt\u00e1lyra felvett betegek\n                    sz\u00e1m\u00e1t regisztr\u00e1ltuk. Statisztikai anal\u00edzisre a khi2-tesztet alkalmaztuk.\n                    <jats:italic>Eredm\u00e9nyek:<\/jats:italic>\n                    Oszt\u00e1lyos felv\u00e9telre az A csoportban 17,92% (n\n                    = 1886), m\u00edg a B csoportban 34,11% (n = 2353) gyermek ker\u00fclt (p&lt;0,0001). Az A\n                    csoportban k\u00f6nny\u0171 fejs\u00e9r\u00fcl\u00e9s miatt 10\u00a0520, m\u00edg a B csoportban 6898 beteget\n                    l\u00e1ttunk el. Az \u00f6sszes fejs\u00e9r\u00fcl\u00e9s kapcs\u00e1n elk\u00e9sz\u00fclt r\u00f6ntgenfelv\u00e9tel sz\u00e1ma\n                    cs\u00f6kkent a B csoportban (1644\/6898, 23,83%) az A csoporthoz (9324\/10\u00a0520,\n                    88,63%) k\u00e9pest (p&lt;0,0001).\n                    <jats:italic>Megbesz\u00e9l\u00e9s:<\/jats:italic>\n                    Az \u00faj protokoll a\n                    megfigyel\u00e9sre, illetve a fizik\u00e1lis vizsg\u00e1latra helyezi a hangs\u00falyt, \u00e9s\n                    rutinszer\u0171en elv\u00e9gzend\u0151 koponya-r\u00f6ntgenvizsg\u00e1latot nem javasol. A k\u00f6nny\u0171\n                    fejs\u00e9r\u00fcl\u00e9ssel \u00e9rkez\u0151 betegek nagy r\u00e9sz\u00e9t napjainkban a S\u00fcrg\u0151ss\u00e9gi Betegell\u00e1t\u00f3\n                    Centrum l\u00e1tja el, a s\u00falyosabb t\u00fcnetekkel, t\u00e1rss\u00e9r\u00fcl\u00e9ssel \u00e9rkez\u0151ket a\n                    Traumatol\u00f3giai Oszt\u00e1ly.\n                    <jats:italic>K\u00f6vetkeztet\u00e9s:<\/jats:italic>\n                    Az \u00faj protokoll\n                    bevezet\u00e9se ut\u00e1n t\u00f6bb beteg ker\u00fclt felv\u00e9telre, de a kor\u00e1bbin\u00e1l r\u00f6videbb\n                    id\u0151tartam\u00fa megfigyel\u00e9sre (48 helyett 6\u201324 \u00f3r\u00e1ra). Orv Hetil. 2026; 167(23):\n                    916\u2013922.\n                  <\/jats:p>","DOI":"10.1556\/650.2026.33574","type":"journal-article","created":{"date-parts":[[2026,6,8]],"date-time":"2026-06-08T13:09:15Z","timestamp":1780924155000},"page":"916-922","update-policy":"https:\/\/doi.org\/10.1556\/policypage.crossmark.crossref.2","source":"Crossref","is-referenced-by-count":0,"title":["Gyermekkori fejs\u00e9r\u00fcl\u00e9sek ell\u00e1t\u00e1sa: az \u00faj int\u00e9zeti protokoll \u00e9rt\u00e9kel\u00e9se"],"prefix":"10.1556","volume":"167","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7359-9427","authenticated-orcid":true,"given":"Bal\u00e1zs","family":"Fadgyas","sequence":"first","affiliation":[{"name":"Heim P\u00e1l Orsz\u00e1gos Gyermekgy\u00f3gy\u00e1szati Int\u00e9zet, II. Gyermekseb\u00e9szeti Oszt\u00e1ly Budapest, \u00dcll\u0151i \u00fat 86., 1089 Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P\u00e9ter","family":"Altorjai","sequence":"additional","affiliation":[{"name":"Heim P\u00e1l Orsz\u00e1gos Gyermekgy\u00f3gy\u00e1szati Int\u00e9zet, S\u00fcrg\u0151ss\u00e9gi Betegell\u00e1t\u00f3 Centrum Budapest Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dorottya","family":"\u0150ri","sequence":"additional","affiliation":[{"name":"Heim P\u00e1l Orsz\u00e1gos Gyermekgy\u00f3gy\u00e1szati Int\u00e9zet, Ment\u00e1lhigi\u00e9niai K\u00f6zpont Budapest Magyarorsz\u00e1g"},{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Magatart\u00e1studom\u00e1nyi Int\u00e9zet Budapest Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zsolt","family":"Bogn\u00e1r","sequence":"additional","affiliation":[{"name":"Heim P\u00e1l Orsz\u00e1gos Gyermekgy\u00f3gy\u00e1szati Int\u00e9zet, S\u00fcrg\u0151ss\u00e9gi Betegell\u00e1t\u00f3 Centrum Budapest Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zolt\u00e1n","family":"Ringwald","sequence":"additional","affiliation":[{"name":"Heim P\u00e1l Orsz\u00e1gos Gyermekgy\u00f3gy\u00e1szati Int\u00e9zet, Seb\u00e9szeti \u00e9s Traumatol\u00f3giai Oszt\u00e1ly Budapest Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"425","reference":[{"key":"R1","unstructured":"Benk\u0151 J, Kassai T. Epidemiology of childhood injuries - mortality\n                    and morbidity data. In: Kassai T, Nagy A. (eds.) Pediatric traumatology. [A\n                    gyermekkori s\u00e9r\u00fcl\u00e9sek epidemiol\u00f3gi\u00e1ja - mortalit\u00e1si \u00e9s morbidit\u00e1si adatok. In:\n                    Kassai T, Nagy A. (szerk.) Gyermektraumatol\u00f3gia.] Medicina K\u00f6nyvkiad\u00f3, Budapest,\n                    2023; pp. 2-10. [Hungarian]"},{"key":"R2","unstructured":"Fadgyas B, P\u00e1szti IM. Head injuries in childhood. [Fejs\u00e9r\u00fcl\u00e9sek\n                    gyermekkorban.] Gyermekgy\u00f3gy Tov\u00e1bbk Szle. 2012; 17: 211-215.\n                    [Hungarian]"},{"key":"R3","unstructured":"Kuppermann N, Holmes JF, Dayan PS, et al. Identification of children\n                    at very low risk of clinically-important brain injuries after head trauma: a\n                    prospective cohort study. Lancet 2009; 374: 1160-1170. 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How COVID-19 pandemic influences\n                    paediatric acute appendicitis cases? [Milyen hat\u00e1sa van a COVID-19-j\u00e1rv\u00e1nynak a\n                    gyermekkori akut appendicitisekre?] Orv Hetil. 2021; 162: 608-610. [Hungarian]\n                        https:\/\/doi.org\/10.1556\/650.2021.32189","DOI":"10.1556\/650.2021.32189"},{"key":"R11","doi-asserted-by":"crossref","unstructured":"Fadgyas B, \u0150ri D, Vajda P. Effect of the COVID-19 pandemic on the\n                    outcome of testicular torsion in children. [A COVID-19-j\u00e1rv\u00e1ny hat\u00e1sa a\n                    gyermekkori herecsavarod\u00e1sok kimenetel\u00e9re.] Orv Hetil. 2023; 164: 1367-1372.\n                    [Hungarian] https:\/\/doi.org\/10.1556\/650.2023.32854","DOI":"10.1556\/650.2023.32854"},{"key":"R12","unstructured":"Fadgyas B. What impact has the COVID-19 pandemic had on pediatric\n                    surgical care? 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Gyermektraumatol\u00f3gia. 2. kiad\u00e1s.]\n                    Medicina K\u00f6nyvkiad\u00f3, Budapest, 2023; pp. 245-253. [Hungarian]"},{"key":"R15","unstructured":"Markia B, Mezei T. Childhood traumatic head and brain injuries. In:\n                    Nagy A, Bogn\u00e1r Zs. (eds.) Pediatric emergency care. [Gyermekkori traum\u00e1s\n                    koponya- \u00e9s agys\u00e9r\u00fcl\u00e9sek. In: Nagy A, Bogn\u00e1r Zs. (szerk.) Gyermeks\u00fcrg\u0151ss\u00e9gi\n                    ell\u00e1t\u00e1s.] Medicina K\u00f6nyvkiad\u00f3, Budapest, 2023; pp. 478-485."},{"key":"R16","doi-asserted-by":"crossref","unstructured":"Ott V, Boda D, Langer M, et al. Dog bite in a newborn infant.\n                    Questions and answers for the management. 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Could the head CT scans be reduced\n                    for patients with minor head injury in the emergency practice? [Lehetne-e\n                    cs\u00f6kkenteni az enyhe koponyas\u00e9r\u00fcltek s\u00fcrg\u0151ss\u00e9gi koponya-CT-vizsg\u00e1latainak\n                    sz\u00e1m\u00e1t?] Orv Hetil. 2024; 165: 538-544. [Hungarian]\n                        https:\/\/doi.org\/10.1556\/650.2024.33003","DOI":"10.1556\/650.2024.33003"}],"container-title":["Orvosi Hetilap"],"original-title":[],"link":[{"URL":"https:\/\/www.akjournals.com\/view\/journals\/650\/167\/23\/article-p916.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.akjournals.com\/downloadpdf\/journals\/650\/167\/23\/article-p916.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/www.akjournals.com\/downloadpdf\/journals\/650\/167\/23\/article-p916.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T13:20:32Z","timestamp":1785504032000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.akjournals.com\/view\/journals\/650\/167\/23\/article-p916.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,7]]},"references-count":19,"journal-issue":{"issue":"23"},"URL":"https:\/\/doi.org\/10.1556\/650.2026.33574","relation":{},"ISSN":["0030-6002","1788-6120"],"issn-type":[{"value":"0030-6002","type":"print"},{"value":"1788-6120","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,7]]}}}