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最新消息:验证儿科 NEXUS II 头 CT 决策工具在选择儿童钝性颅脑外伤患者行 CT 检查中的应用。

Hot Off the Press: Validation of the Pediatric NEXUS II Head Computed Tomography Decision Instrument for Selective Imaging of Pediatric Patients with Blunt Head Trauma.

机构信息

Lewis Gale Medical Center, Salem, VA.

Markham Stouffville Hospital, Markham, Ontario, Canada.

出版信息

Acad Emerg Med. 2019 Feb;26(2):246-249. doi: 10.1111/acem.13549. Epub 2018 Oct 3.

Abstract

This is a validation of a preplanned secondary analysis of the NEXUS II Head computed tomography (CT) decision instrument, focusing on the pediatric population. A total of 1,018 patients less than 18 years old, who underwent head CT imaging for blunt head trauma, were included. The decision instrument correctly identified all patient (27/27) who required neurosurgical intervention and 48 of 49 patients who had clinically significant head injury on CT imaging.

摘要

这是对 NEXUS II 头 CT 决策工具的预先计划的二次分析的验证,重点是儿科人群。共有 1018 名年龄小于 18 岁的因钝性头部外伤行头部 CT 成像的患者纳入本研究。该决策工具正确识别了所有需要神经外科干预的患者(27/27)和所有在 CT 成像上有临床显著头部损伤的患者(48/49)。

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