Are Pediatric Emergency Care Applied Research Network Rules (PECARN) Sufficient for Computed Cranial Tomography Decision in Pediatric Patients with Mild Head Trauma?
Hasan Mansur Durgun 1 * , Erkan Tektaş, Yılmaz Zengin, Recep Dursun, Mustafa İçer, Mehmet Üstündağ, Murat Orak, Cahfer Güloğlu
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1 Emergency Medicine Department, Medical Faculty of Dicle University, Diyarbakir, Turkey* Corresponding Author


Objective: In this study we aimed to investigate the ap­plicability of Pediatric Emergency Care Applied Research Network (PECARN) rules for decision to perform computed cranial tomography (CCT) in pediatric patients with minor head trauma (MHT).
Methods: 317 pediatric patients who underwent CCT for mild head trauma were evaluated retrospectively. The pa­tients were classified in two groups according to PECARN rules: below 2 years old, above 2 years old and then, these patient groups were classified into two subgroups accord­ing to the compatibility with PECARN rules. The patients re­quiring CCT according to PECARN rules were classified as PECARN compatible (PECARN +), the patients who under­went CCT without the need of CCT according to PECARN were classified as PECARN incompatible (PECARN -).
Results: Approximately 20% patients in PECARN (+) group had abnormalities leading to prolonged hospitalization and only 3.8% patients of PECARN (-) group had abnormali­ties. However, none of PECARN (-) group patients required follow-up longer than 48 hours in the hospital. The most common symptoms necessitate CCT in PECARN (+) group were scalp swelling, scalp hematoma and vomiting. In PE­CARN (-) group the most common signs were cuts in the scalp and dermal abrasions. The incidence of fracture in CCT was significantly higher in PECARN (+) group.
Conclusion: Because CCT poses serious radiation expo­sure, neurological examination and clinical follow-up should be preferred in the evaluation of children with MHT. In con­clusion, PECARN rules were sufficient for CCT decision in pediatric patients with MHT.


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Article Type: Research Article

J Clin Exp Invest, 2016, Volume 7, Issue 1, 35-40

Publication date: 01 Mar 2016

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Article Downloads: 915

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