Accuracy of PECARN decision rule in minor blunt head trauma in pediatric emergency department: A meta‐analysis
Background Paediatric Emergency Care Applied Research Network (PECARN) is a useful Clinical Decision Support Tool (CDST) to identify traumatic brain injuries and reduce the use of head computed tomography (CT) scans among paediatric patients. The present Meta‐analysis aims to evaluate the diagnostic...
Gespeichert in:
| Veröffentlicht in: | International journal of clinical practice (Esher) 2021-11, Vol.75 (11), p.e14586-n/a |
|---|---|
| Hauptverfasser: | , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | n/a |
|---|---|
| container_issue | 11 |
| container_start_page | e14586 |
| container_title | International journal of clinical practice (Esher) |
| container_volume | 75 |
| creator | Yang, Ke Zhao, Meng Sun, Jing Nie, Xiuli |
| description | Background
Paediatric Emergency Care Applied Research Network (PECARN) is a useful Clinical Decision Support Tool (CDST) to identify traumatic brain injuries and reduce the use of head computed tomography (CT) scans among paediatric patients. The present Meta‐analysis aims to evaluate the diagnostic accuracy of the PECARN rule from 2009 to 2020 in children with a very low risk of blunt head trauma.
Methods
A detailed search was conducted from the databases of Medline (via PubMed), Cinahl (via Ebsco), Scopus, Web of Sciences, from 2009 till the end of December 2020 using the keywords like decreased use of CT scan, blunt head trauma (BHT) combined with accuracy, PECARN OR CDST. Studies showing the diagnostic accuracy of the PECARN rule in children younger than 18 years of age with minor BHT were included.
Results
Thirteen studies were included in the present analysis. Pooled sensitivity of 0.08, (95% confidence interval of 0.074‐0.087), pooled specificity of 0.20 (95% CI of 0.196‐0.213) and diagnostic odds ratio of 0.004 (95% CI of 0.000‐0.1666) was in |
| doi_str_mv | 10.1111/ijcp.14586 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2546975322</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2546975322</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3706-6b2c310ff9b92660180bfeb7ca3350a704d128051413fca5e52ea4e05b2009143</originalsourceid><addsrcrecordid>eNp90MtKxDAUBuAgCo6jG58g4EaEjjm5tB13wzDqyKCD6Lqk6alm6M2kRbrzEXxGn8SO48qF2ZzA-fITfkJOgU1gOJd2Y5oJSBWHe2QEkeQBcAn7w12EcaCYgENy5P2GMa5UzEakmRnTOW16Wud0vZjPHu9phsZ6W1fUdQVSW9HSVrWjadFVLX1FndHW6a7U21WDmdWts4Ziie4FqyEpw0a7tsSqvaIzWmKrvz4-daWL3lt_TA5yXXg8-Z1j8ny9eJrfBquHm-V8tgqMiFgYhCk3AlieT9MpD0MGMUtzTCOjhVBMR0xmwGOmQILIjVaoOGqJTKWcsSlIMSbnu9zG1W8d-jYprTdYFLrCuvMJVzKcRkpwPtCzP3RTd27471bFQkIMAxyTi50yrvbeYZ40zpba9QmwZFt-si0_-Sl_wLDD77bA_h-ZLO_m692bb1ALhtE</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2583418175</pqid></control><display><type>article</type><title>Accuracy of PECARN decision rule in minor blunt head trauma in pediatric emergency department: A meta‐analysis</title><source>Wiley Online Library Journals Frontfile Complete</source><creator>Yang, Ke ; Zhao, Meng ; Sun, Jing ; Nie, Xiuli</creator><creatorcontrib>Yang, Ke ; Zhao, Meng ; Sun, Jing ; Nie, Xiuli</creatorcontrib><description>Background
Paediatric Emergency Care Applied Research Network (PECARN) is a useful Clinical Decision Support Tool (CDST) to identify traumatic brain injuries and reduce the use of head computed tomography (CT) scans among paediatric patients. The present Meta‐analysis aims to evaluate the diagnostic accuracy of the PECARN rule from 2009 to 2020 in children with a very low risk of blunt head trauma.
Methods
A detailed search was conducted from the databases of Medline (via PubMed), Cinahl (via Ebsco), Scopus, Web of Sciences, from 2009 till the end of December 2020 using the keywords like decreased use of CT scan, blunt head trauma (BHT) combined with accuracy, PECARN OR CDST. Studies showing the diagnostic accuracy of the PECARN rule in children younger than 18 years of age with minor BHT were included.
Results
Thirteen studies were included in the present analysis. Pooled sensitivity of 0.08, (95% confidence interval of 0.074‐0.087), pooled specificity of 0.20 (95% CI of 0.196‐0.213) and diagnostic odds ratio of 0.004 (95% CI of 0.000‐0.1666) was in <2 years of age. The overall sensitivity of 0.07, specificity of 0.66, and the diagnostic odds ratio of 0.54 (95% CI of 0.10‐2.78) were seen in ≥2 years of age. Overall sensitivity of 0.13 (95% CI 0.12‐0.14), specificity of 0.81 (95% CI 0.80‐0.82) and diagnostic odds ratio of 0.79 (95% CI of 0.08‐7.71) was in 0‐18 years of age.
Conclusion
The present analysis indicates the PECARN decision tool as an accurate CDST in low‐risk minor BHT cases in children below two years of age and can become a valuable tool in reducing Head CT scan overuse in paediatric emergency departments.</description><identifier>ISSN: 1368-5031</identifier><identifier>EISSN: 1742-1241</identifier><identifier>DOI: 10.1111/ijcp.14586</identifier><language>eng</language><publisher>London: Hindawi Limited</publisher><subject>Accuracy ; Age ; Children ; Computed tomography ; Emergency medical care ; Head ; Head injuries ; Medical imaging ; Meta-analysis ; Pediatrics ; Trauma ; Traumatic brain injury</subject><ispartof>International journal of clinical practice (Esher), 2021-11, Vol.75 (11), p.e14586-n/a</ispartof><rights>2021 John Wiley & Sons Ltd.</rights><rights>Copyright © 2021 John Wiley & Sons Ltd</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3706-6b2c310ff9b92660180bfeb7ca3350a704d128051413fca5e52ea4e05b2009143</citedby><cites>FETCH-LOGICAL-c3706-6b2c310ff9b92660180bfeb7ca3350a704d128051413fca5e52ea4e05b2009143</cites><orcidid>0000-0002-6253-7060 ; 0000-0002-4917-3370</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fijcp.14586$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fijcp.14586$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27903,27904,45553,45554</link.rule.ids></links><search><creatorcontrib>Yang, Ke</creatorcontrib><creatorcontrib>Zhao, Meng</creatorcontrib><creatorcontrib>Sun, Jing</creatorcontrib><creatorcontrib>Nie, Xiuli</creatorcontrib><title>Accuracy of PECARN decision rule in minor blunt head trauma in pediatric emergency department: A meta‐analysis</title><title>International journal of clinical practice (Esher)</title><description>Background
Paediatric Emergency Care Applied Research Network (PECARN) is a useful Clinical Decision Support Tool (CDST) to identify traumatic brain injuries and reduce the use of head computed tomography (CT) scans among paediatric patients. The present Meta‐analysis aims to evaluate the diagnostic accuracy of the PECARN rule from 2009 to 2020 in children with a very low risk of blunt head trauma.
Methods
A detailed search was conducted from the databases of Medline (via PubMed), Cinahl (via Ebsco), Scopus, Web of Sciences, from 2009 till the end of December 2020 using the keywords like decreased use of CT scan, blunt head trauma (BHT) combined with accuracy, PECARN OR CDST. Studies showing the diagnostic accuracy of the PECARN rule in children younger than 18 years of age with minor BHT were included.
Results
Thirteen studies were included in the present analysis. Pooled sensitivity of 0.08, (95% confidence interval of 0.074‐0.087), pooled specificity of 0.20 (95% CI of 0.196‐0.213) and diagnostic odds ratio of 0.004 (95% CI of 0.000‐0.1666) was in <2 years of age. The overall sensitivity of 0.07, specificity of 0.66, and the diagnostic odds ratio of 0.54 (95% CI of 0.10‐2.78) were seen in ≥2 years of age. Overall sensitivity of 0.13 (95% CI 0.12‐0.14), specificity of 0.81 (95% CI 0.80‐0.82) and diagnostic odds ratio of 0.79 (95% CI of 0.08‐7.71) was in 0‐18 years of age.
Conclusion
The present analysis indicates the PECARN decision tool as an accurate CDST in low‐risk minor BHT cases in children below two years of age and can become a valuable tool in reducing Head CT scan overuse in paediatric emergency departments.</description><subject>Accuracy</subject><subject>Age</subject><subject>Children</subject><subject>Computed tomography</subject><subject>Emergency medical care</subject><subject>Head</subject><subject>Head injuries</subject><subject>Medical imaging</subject><subject>Meta-analysis</subject><subject>Pediatrics</subject><subject>Trauma</subject><subject>Traumatic brain injury</subject><issn>1368-5031</issn><issn>1742-1241</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><recordid>eNp90MtKxDAUBuAgCo6jG58g4EaEjjm5tB13wzDqyKCD6Lqk6alm6M2kRbrzEXxGn8SO48qF2ZzA-fITfkJOgU1gOJd2Y5oJSBWHe2QEkeQBcAn7w12EcaCYgENy5P2GMa5UzEakmRnTOW16Wud0vZjPHu9phsZ6W1fUdQVSW9HSVrWjadFVLX1FndHW6a7U21WDmdWts4Ziie4FqyEpw0a7tsSqvaIzWmKrvz4-daWL3lt_TA5yXXg8-Z1j8ny9eJrfBquHm-V8tgqMiFgYhCk3AlieT9MpD0MGMUtzTCOjhVBMR0xmwGOmQILIjVaoOGqJTKWcsSlIMSbnu9zG1W8d-jYprTdYFLrCuvMJVzKcRkpwPtCzP3RTd27471bFQkIMAxyTi50yrvbeYZ40zpba9QmwZFt-si0_-Sl_wLDD77bA_h-ZLO_m692bb1ALhtE</recordid><startdate>202111</startdate><enddate>202111</enddate><creator>Yang, Ke</creator><creator>Zhao, Meng</creator><creator>Sun, Jing</creator><creator>Nie, Xiuli</creator><general>Hindawi Limited</general><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>7T5</scope><scope>7TK</scope><scope>7TS</scope><scope>7U9</scope><scope>H94</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-6253-7060</orcidid><orcidid>https://orcid.org/0000-0002-4917-3370</orcidid></search><sort><creationdate>202111</creationdate><title>Accuracy of PECARN decision rule in minor blunt head trauma in pediatric emergency department: A meta‐analysis</title><author>Yang, Ke ; Zhao, Meng ; Sun, Jing ; Nie, Xiuli</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3706-6b2c310ff9b92660180bfeb7ca3350a704d128051413fca5e52ea4e05b2009143</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Accuracy</topic><topic>Age</topic><topic>Children</topic><topic>Computed tomography</topic><topic>Emergency medical care</topic><topic>Head</topic><topic>Head injuries</topic><topic>Medical imaging</topic><topic>Meta-analysis</topic><topic>Pediatrics</topic><topic>Trauma</topic><topic>Traumatic brain injury</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yang, Ke</creatorcontrib><creatorcontrib>Zhao, Meng</creatorcontrib><creatorcontrib>Sun, Jing</creatorcontrib><creatorcontrib>Nie, Xiuli</creatorcontrib><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Physical Education Index</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>International journal of clinical practice (Esher)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yang, Ke</au><au>Zhao, Meng</au><au>Sun, Jing</au><au>Nie, Xiuli</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Accuracy of PECARN decision rule in minor blunt head trauma in pediatric emergency department: A meta‐analysis</atitle><jtitle>International journal of clinical practice (Esher)</jtitle><date>2021-11</date><risdate>2021</risdate><volume>75</volume><issue>11</issue><spage>e14586</spage><epage>n/a</epage><pages>e14586-n/a</pages><issn>1368-5031</issn><eissn>1742-1241</eissn><abstract>Background
Paediatric Emergency Care Applied Research Network (PECARN) is a useful Clinical Decision Support Tool (CDST) to identify traumatic brain injuries and reduce the use of head computed tomography (CT) scans among paediatric patients. The present Meta‐analysis aims to evaluate the diagnostic accuracy of the PECARN rule from 2009 to 2020 in children with a very low risk of blunt head trauma.
Methods
A detailed search was conducted from the databases of Medline (via PubMed), Cinahl (via Ebsco), Scopus, Web of Sciences, from 2009 till the end of December 2020 using the keywords like decreased use of CT scan, blunt head trauma (BHT) combined with accuracy, PECARN OR CDST. Studies showing the diagnostic accuracy of the PECARN rule in children younger than 18 years of age with minor BHT were included.
Results
Thirteen studies were included in the present analysis. Pooled sensitivity of 0.08, (95% confidence interval of 0.074‐0.087), pooled specificity of 0.20 (95% CI of 0.196‐0.213) and diagnostic odds ratio of 0.004 (95% CI of 0.000‐0.1666) was in <2 years of age. The overall sensitivity of 0.07, specificity of 0.66, and the diagnostic odds ratio of 0.54 (95% CI of 0.10‐2.78) were seen in ≥2 years of age. Overall sensitivity of 0.13 (95% CI 0.12‐0.14), specificity of 0.81 (95% CI 0.80‐0.82) and diagnostic odds ratio of 0.79 (95% CI of 0.08‐7.71) was in 0‐18 years of age.
Conclusion
The present analysis indicates the PECARN decision tool as an accurate CDST in low‐risk minor BHT cases in children below two years of age and can become a valuable tool in reducing Head CT scan overuse in paediatric emergency departments.</abstract><cop>London</cop><pub>Hindawi Limited</pub><doi>10.1111/ijcp.14586</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0002-6253-7060</orcidid><orcidid>https://orcid.org/0000-0002-4917-3370</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1368-5031 |
| ispartof | International journal of clinical practice (Esher), 2021-11, Vol.75 (11), p.e14586-n/a |
| issn | 1368-5031 1742-1241 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2546975322 |
| source | Wiley Online Library Journals Frontfile Complete |
| subjects | Accuracy Age Children Computed tomography Emergency medical care Head Head injuries Medical imaging Meta-analysis Pediatrics Trauma Traumatic brain injury |
| title | Accuracy of PECARN decision rule in minor blunt head trauma in pediatric emergency department: A meta‐analysis |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-25T13%3A19%3A17IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Accuracy%20of%20PECARN%20decision%20rule%20in%20minor%20blunt%20head%20trauma%20in%20pediatric%20emergency%20department:%20A%20meta%E2%80%90analysis&rft.jtitle=International%20journal%20of%20clinical%20practice%20(Esher)&rft.au=Yang,%20Ke&rft.date=2021-11&rft.volume=75&rft.issue=11&rft.spage=e14586&rft.epage=n/a&rft.pages=e14586-n/a&rft.issn=1368-5031&rft.eissn=1742-1241&rft_id=info:doi/10.1111/ijcp.14586&rft_dat=%3Cproquest_cross%3E2546975322%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2583418175&rft_id=info:pmid/&rfr_iscdi=true |