Velasco R, Arribas M, Valencia C, Zamora N, Fernández S M, Lobeiras A, Urbaneja E, Garrote R, González L, Benito H
Unidad de Urgencias Pediátricas, Servicio de Pediatría, Hospital Universitario Río Hortega, Valladolid, España.
Unidad de Urgencias Pediátricas, Servicio de Pediatría, Hospital Universitario Río Hortega, Valladolid, España.
An Pediatr (Barc). 2015 Sep;83(3):166-72. doi: 10.1016/j.anpedi.2014.10.012. Epub 2014 Dec 26.
Mild head trauma is a frequent complaint in Pediatric Emergency Departments. Several guidelines have been published in the last few years. However, significant variability can be appreciated in terms of the demand for image tests. The aim of this study is to determine the level of compliance with PECARN and AEP guidelines in the management of patients younger than 24 months old in four different hospitals.
A multicenter retrospective study was conducted on patients presenting with mild head trauma between October 1st, 2011 and March 31st, 2013 in the Emergency Departments of four hospitals.
In the analysis of the results obtained, only one of the four hospitals complied with the AEP guidelines in more than 50% of the patients. The other three hospitals had a level of compliance lower than 50%. Management was more suitable according to PECARN guidelines, with 3 of the 4 hospitals having a level of compliance greater than 50%. However, the best compliance achieved by a hospital was only of 70%.
The study shows that the level of compliance with guidelines for management of mild head trauma in patients younger than 24 months old is low.
轻度头部创伤是儿科急诊科常见的就诊原因。在过去几年中已发布了多项指南。然而，在影像检查需求方面存在显著差异。本研究的目的是确定四家不同医院在管理24个月以下患者时对儿科急诊应用研究网络（PECRAN）和美国儿科学会（AEP）指南的遵循程度。
对2011年10月1日至2013年3月31日期间在四家医院急诊科就诊的轻度头部创伤患者进行了一项多中心回顾性研究。
在对所得结果的分析中，四家医院中只有一家在超过50%的患者中遵循了AEP指南。其他三家医院的遵循程度低于50%。根据PECRAN指南，管理更为合适，四家医院中有三家的遵循程度大于50%。然而，一家医院达到的最佳遵循程度仅为70%。
该研究表明，24个月以下患者轻度头部创伤管理指南的遵循程度较低。
