Compliance with CATCH rules in administering computerized tomography scans to children admitted to the emergency department with minor head trauma

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dc.contributor.authorKatırcı, Yavuz
dc.contributor.authorOcak, Tarık
dc.contributor.authorKaramercan, Mehmet Akif
dc.contributor.authorKocaşaban, Dilber
dc.contributor.authorYurdakul, Mehmet Serkan
dc.date.accessioned2021-06-23T19:34:57Z
dc.date.available2021-06-23T19:34:57Z
dc.date.issued2013
dc.departmentBAİBÜ, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümüen_US
dc.description.abstractBackground: Traumatic brain injury (TBI) is a major health problem frequently encountered in children. Although TBI-associated acute brain damage is frequently observed in children, the need for neurosurgical intervention is rare. In many centers, it has become standard practice to assess children with minor TBI (Glasgow Coma Scale [GCS], 13-15) using head computerized tomography (CT). Therefore. preventing unnecessary CT imaging in children with minor TBI is important. The Canadian Assessment of Tomography for Childhood Head injury (CATCH) guidelines comprise precise rules aimed at reducing CT imaging in pediatric patients with minor TBI. In this study, we retrospectively investigated pediatric patients with head trauma who presented to our emergency clinic and assessed CATCH compliance in cases where CT scans were administered. Methods: This study was performed by retrospectively investigating children 0-18 years of age who had a record of head trauma and underwent brain CT imaging at the emergency clinic of a tertiary city hospital with an annual patient population of approximately 245.000. Children with minor TBI who met the CATCH criteria for CT imaging, including a decrease in GCS to <15 within 2 h following trauma, evidence of an open or depression fracture, irritability during examination, basal skull fracture. large or boggy hematoma on the scalp, fall from a height of 3 feet or down five steps, motorized vehicle accidents, and fall from a motorcycle without a hehnet. were included in this study. The findings regarding compliance with CATCH rules were analyzed statistically. Results: A total of 2.253 children with head trauma presenting over 1 year were examined, and 731 children (32.4%) who undenvent CT scans were included because they conformed to the CATCH rules. Approximately 20% (n = 148) of these cases were asymptomatic. Indications for CT imaging included a dangerous trauma mechanism (77.2%, n = 564), a linear fracture without acute brain damage (5.6%, n = 127), and acute brain damage (1.6%. n = 36). Four patients (0.2%) with depression fractures underwent surgery. Interpretation: It was difficult to reach a consensus on the decision for brain CT imaging for minor head trauma in the pediatric age group. The CATCH criterion related to falling from a height of >3 feet was the most frequent indication for CT imaging in our study. However, the trauma mechanism of simply falling from a height 3 feet was insufficient to justify a decision to perform a CT scan.en_US
dc.identifier.endpage722en_US
dc.identifier.issn0393-6384
dc.identifier.issn2283-9720
dc.identifier.issue4en_US
dc.identifier.scopus2-s2.0-84896723927en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.startpage717en_US
dc.identifier.urihttps://www.actamedicamediterranea.com/archive/2013/medica-4/compliance-with-catch-rules-in-administering-computerized-tomography-scans-to-children-admitted-to-the-emergency-department-with-minor-head-trauma/document
dc.identifier.urihttps://hdl.handle.net/20.500.12491/7669
dc.identifier.volume29en_US
dc.identifier.wosWOS:000330151200020en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.institutionauthorOcak, Tarık
dc.language.isoenen_US
dc.publisherCarbone Editoreen_US
dc.relation.ispartofActa Medica Mediterraneaen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectHead Traumaen_US
dc.subjectEmergency Medicineen_US
dc.subjectTraumatic Brain Injuryen_US
dc.subjectComputed Tomographyen_US
dc.titleCompliance with CATCH rules in administering computerized tomography scans to children admitted to the emergency department with minor head traumaen_US
dc.typeArticleen_US

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