Big for Small: Validating Brain Injury Guidelines in Pediatric Traumatic Brain Injury

Authors

A AzimFollow
F Jehan
P Rhee
T O'Keeffe
A Tang
G Vercruysse
N Kulvatunyou
Rifat Latifi, New York Medical CollegeFollow
B Joseph

DOI

10.1097/TA.0000000000001611

Journal Title

The Journal of Trauma and Acute Care Surgery

First Page

1200

Last Page

1204

Document Type

Article

Publication Date

12-1-2017

Department

Surgery

Abstract

BACKGROUND: Brain injury guidelines (BIG) were developed to reduce overutilization of neurosurgical consultation (NC) as well as computed tomography (CT) imaging. Currently, BIG have been successfully applied to adult populations, but the value of implementing these guidelines among pediatric patients remains unassessed. Therefore, the aim of this study was to evaluate the established BIG (BIG-1 category) for managing pediatric traumatic brain injury (TBI) patients with intracranial hemorrhage (ICH) without NC (no-NC). METHODS: We prospectively implemented the BIG-1 category (normal neurologic examination, ICH

Recommended Citation

Azim, A., Jehan, F., Rhee, P., O'Keeffe, T., Tang, A., Vercruysse, G., Kulvatunyou, N., Latifi, R., & Joseph, B. (2017). Big for Small: Validating Brain Injury Guidelines in Pediatric Traumatic Brain Injury. The Journal of Trauma and Acute Care Surgery, 83 (6), 1200-1204. https://doi.org/10.1097/TA.0000000000001611