Risk of Traumatic Brain Injuries in Infants Younger than 3 Months With Minor Blunt Head Trauma

Methodology: 3/5
Usefulness: 3.5/5

Abid Z, et al. Ann Emerg Med. 2021 Sep;78(3):321-330.e1.

Question and Methods: The study assessed the risk of brain injuries and fractures among infants <3 months with/without PECARN low-risk criteria by secondary analysis of PECARN data.
Findings: Of the 1081 infants included, 514 met the PECARN low-risk criteria and the sensitivity for clinically important traumatic brain injury (ciTBI), TBI and skull fracture were 96%, 92%, and 95% respectively.
Limitations: Lack of prospective validation in this specific age group.

Interpretation: Amongst infants <3 months old, PECARN low risk criteria are not as sensitive at predicting ciTBI, TBI and skull fracture

By: Dr. Jerry Zheng

JC Supervisor: Venkatesh Thirugansambandamoorthy

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Jerry Yuchen Zheng

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Hans Rosenberg

Dr. Rosenberg is an emergency physician at the Ottawa Hospital, associate professor at the University of Ottawa, and Director of the Digital Scholarship and Knowledge Dissemination Program.

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Venkatesh Thiruganasambandamoorthy

Dr. Venkatesh Thiruganasambandamoorthy is an attending physician and associate scientist at the Ottawa Hospital and Ottawa Hospital Research Institute with an particular interest in syncope and presyncope care.

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Risk of Traumatic Brain Injuries in Infants Younger than 3 Months With Minor Blunt Head Trauma

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