TY  - JOUR
PY  - 2022//
TI  - Multi-centre study found no increased risk of clinically important brain injuries when children presented more than 24 hours after a minor head trauma
JO  - Acta paediatrica
A1  - Vajna de Pava, Marco
A1  - Milani, Gregorio Paolo
A1  - Zuccotti, Gian Vincenzo
A1  - Tommasi, Paola
A1  - Calvi, Matteo
A1  - Amoroso, Angela
A1  - Montesano, Paola
A1  - Boselli, Giulia
A1  - Castellazzi, Massimo Luca
A1  - Agosti, Massimo
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - AIM: Validated clinical decision rules on neuroimaging are not available for children who are evaluated more than 24 hours after a minor head trauma. We compared clinically important traumatic brain injuries in children who presented with a minor head trauma within, or after, 24 hours. <br><br>METHODS: This was a retrospective analysis of patients aged 0-17 years, who were evaluated for minor head traumas by 5 paediatric emergency departments in Northern Italy between January 2019 and June 2020. Children with clinically important traumatic brain injuries were divided into those who had presented within, and after, 24 hours. <br><br>RESULTS: The study comprised 5,981 children (59.9% boys), with a median age of 2 years, including 243 (4.1%) who had presented more than 24 hours after their minor head trauma. Neuroimaging was performed on 448 (7.5%) patients and the time of presentation had no impact on the rates of clinically important traumatic brain injuries. Multiple logistic regression did not show any association between clinically important traumatic brain injuries and late presentation. <br><br>CONCLUSION: Delayed presentation to a paediatric emergency department after a minor head trauma did not alter the risk of clinically important traumatic brain injuries and the same neuroimaging rules could apply.<p />  <p>Language: en</p>
LA  - en
SN  - 0803-5253
UR  - http://dx.doi.org/10.1111/apa.16507
ID  - ref1
ER  -