NYMC Faculty Publications

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

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

Keywords

Brain Injuries, traumatic, ChiId, Intracranial Hemorrhage, Neuroimaging, Neurosurgical Procedures, Practice Guidelines as Topic

Disciplines

Medicine and Health Sciences | Neurology | Surgery | Trauma

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

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