Does Emergency Department Observation Impact the Rate of Computed Tomography in Children With Minor Blunt Head Trauma?

被引：0

作者：

Blackburn, Kari J. ^{[1
]}

Howard, Patricia Kunz ^{[1
]}

机构：

[1] Univ Kentucky, Chandler Hosp, Makenna David Pediat Emergency Ctr, Lexington, KY USA

来源：

ADVANCED EMERGENCY NURSING JOURNAL | 2014年 / 36卷 / 04期

关键词：

blunt head trauma; computed tomography; observation;

D O I：

10.1097/TME.0000000000000041

中图分类号：

R47 [护理学];

学科分类号：

1011 ;

摘要：

Review of recent evidence with translation to practice for the advanced practice nurse (APN) role is presented using a case study module for "The Effect of the Duration of Emergency Department Observation on Computed Tomography Use in Children With Minor Blunt Head Trauma." The study results showed that 49% of the patients were "observed" in the emergency department (ED). Of those "observed" (N = 676) in the ED, the authors found that 20% had a computed tomographic (CT) scan performed. However, "observed" patients did experience a lower rate of CT scan (5%) than "nonobserved" patients. The implications and clinical relevance of these findings for APNs are discussed, highlighting best practice evidence.

引用

页码：294 / 298

页数：5

共 10 条

[1] Pediatric head trauma: Changes in use of computed tomography in emergency departments in the United States over time
Blackwell, Charles D.
Gorelick, Marc
Holmes, James F.
Bandyopadhyay, Subhankar
Kuppermann, Nathan
[J]. ANNALS OF EMERGENCY MEDICINE, 2007, 49 (03) : 320 - 324
[2] Increasing utilization of computed tomography in the pediatric emergency department, 2000-2006
Broder J.
Fordham L.A.
Warshauer D.M.
[J]. Emergency Radiology, 2007, 14 (4) : 227 - 232
[3] Variation in utilization of computed tomography scanning for the investigation of minor head trauma in children: A Canadian experience
Klassen, TP
Reed, MH
Stiell, IG
Nijssen-Jordan, C
Tenenbein, M
Joubert, G
Jarvis, A
Baldwin, G
St-Vil, D
Pitters, C
Belanger, F
McConnell, D
Vandemheen, K
Hamilton, MG
Sutcliffe, T
Colbourne, M
[J]. ACADEMIC EMERGENCY MEDICINE, 2000, 7 (07) : 739 - 744
[4] Identification of children at very low risk of clinically-important brain injuries after head trauma: a prospective cohort study
Kuppermann, Nathan
Holmes, James F.
Dayan, Peter S.
Hoyle, John D., Jr.
Atabaki, Shireen M.
Holubkov, Richard
Nadel, Frances M.
Monroe, David
Stanley, Rachel M.
Borgialli, Dominic A.
Badawy, Mohamed K.
Schunk, Jeff E.
Quayle, Kimberly S.
Mahajan, Prashant
Lichenstein, Richard
Lillis, Kathleen A.
Tunik, Michael G.
Jacobs, Elizabeth S.
Callahan, James M.
Gorelick, Marc H.
Glass, Todd F.
Lee, Lois K.
Bachman, Michael C.
Cooper, Arthur
Powell, Elizabeth C.
Gerardi, Michael J.
Melville, Kraig A.
Muizelaar, J. Paul
Wisner, David H.
Zuspan, Sally Jo
Dean, J. Michael
Wootton-Gorges, Sandra L.
[J]. LANCET, 2009, 374 (9696) : 1160 - 1170
[5] Computed Tomography for Minor Head Injury: Variation and Trends in Major United States Pediatric Emergency Departments
Mannix, Rebekah
Meehan, William P.
Monuteaux, Michael C.
Bachur, Richard G.
[J]. JOURNAL OF PEDIATRICS, 2012, 160 (01) : 136 - U199
[6] National Institute for Health and Clinical Excellence, 2007, HEAD INJ TRIAG ASS I, V56
[7] Radiation exposure from CT scans in childhood and subsequent risk of leukaemia and brain tumours: a retrospective cohort study
Pearce, Mark S.
Salotti, Jane A.
Little, Mark P.
McHugh, Kieran
Lee, Choonsik
Kim, Kwang Pyo
Howe, Nicola L.
Ronckers, Cecile M.
Rajaraman, Preetha
Craft, Alan W.
Parker, Louise
de Gonzalez, Amy Berrington
[J]. LANCET, 2012, 380 (9840) : 499 - 505
[8] Effect of the Duration of Emergency Department Observation on Computed Tomography Use in Children With Minor Blunt Head Trauma
Schonfeld, Deborah
Fitz, Brianna M.
Nigrovic, Lise E.
[J]. ANNALS OF EMERGENCY MEDICINE, 2013, 62 (06) : 597 - 603
[9] Schutzman S., 2014, MINOR HEAD TRAUMA IN
[10] Wong-Baker Faces Foundation, 1983, WONG BAK FAC REG PAI

← 1 →