A Cluster Randomized Trial to Reduce Missed Abusive Head Trauma in Pediatric Intensive Care Settings

To estimate the impact of the PediBIRN (Pediatric Brain Injury Research Network) 4-variable clinical decision rule (CDR) on abuse evaluations and missed abusive head trauma in pediatric intensive care settings. This was a cluster randomized trial. Participants included 8 pediatric intensive care uni...

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Veröffentlicht in:	The Journal of pediatrics 2021-09, Vol.236, p.260-268.e3
Hauptverfasser:	Hymel, Kent P., Armijo-Garcia, Veronica, Musick, Matthew, Marinello, Mark, Herman, Bruce E., Weeks, Kerri, Haney, Suzanne B., Frazier, Terra N., Carroll, Christopher L., Kissoon, Natalie N., Isaac, Reena, Foster, Robin, Campbell, Kristine A., Tieves, Kelly S., Livingston, Nina, Bucher, Ashley, Woosley, Maria C., Escamilla-Padilla, Dorinda, Jaimon, Nancy, Kustka, Lucinda, Wang, Ming, Chinchilli, Vernon M., Dias, Mark S., Noll, Jennie
Format:	Artikel
Sprache:	eng
Schlagworte:	Child child abuse Child Abuse - diagnosis clinical decision rule Craniocerebral Trauma - diagnosis Critical Care Humans Intensive Care Units, Pediatric Life Sciences & Biomedicine Mass Screening Pediatrics Science & Technology screening test
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Beschreibung
Zusammenfassung:	To estimate the impact of the PediBIRN (Pediatric Brain Injury Research Network) 4-variable clinical decision rule (CDR) on abuse evaluations and missed abusive head trauma in pediatric intensive care settings. This was a cluster randomized trial. Participants included 8 pediatric intensive care units (PICUs) in US academic medical centers; PICU and child abuse physicians; and consecutive patients with acute head injures
ISSN:	0022-3476 1097-6833
DOI:	10.1016/j.jpeds.2021.03.055