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
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.
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.