دورية أكاديمية
Frequency of neuroimaging for pediatric minor brain injury is determined by the primary treating medical department
| العنوان: | Frequency of neuroimaging for pediatric minor brain injury is determined by the primary treating medical department |
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| المؤلفون: | Klora, Mike, Zeidler, Jan, Bassler, Stefan, Hirsch, Franz Wolfgang, Gosemann, Jan-Hendrik, Lacher, Martin, Zimmermann, Peter |
| المصدر: | Medicine 98 (2019), Nr. 28 |
| بيانات النشر: | Wolters Kluwer Health |
| سنة النشر: | 2019 |
| المجموعة: | Institutional Repository of Leibniz Universität Hannover |
| مصطلحات موضوعية: | adolescent, brain injury, child, cohort analysis, comparative study, diagnostic imaging, female, health care delivery, human, infant, male, neuroimaging, nuclear magnetic resonance imaging, preschool child, x-ray computed tomography, Brain Injuries, Preschool, Cohort Studies, Delivery of Health Care, Humans, Magnetic Resonance Imaging, Procedures and Techniques Utilization, Tomography, X-Ray Computed, ddc:610 |
| الوصف: | To investigate the use of neuroimaging in children and adolescents with minor brain injury in pediatric and non-pediatric departments.In this observational cohort study data were extracted from a large German statutory health insurance (AOK Plus Dresden ∼3.1 million clients) in a 7-year period (2010-2016). All patients with International Classification of Diseases (ICD) code S06.0 (concussion; minor brain injury; commotio cerebri) aged ≤ 18 years were included. Demographic and clinical data were analyzed by logistic regression analysis for associations with the use of CT and MRI (independent variables: gender, age, length of stay, pediatric vs non-pediatric department, university vs non-university hospital).A total of 14,805 children with minor brain injuries (mean age 6.0 ± 5.6; 45.5% females) were included. Treatment was provided by different medical departments: Pediatrics (N = 8717; 59%), Pediatric Surgery (N = 3582, 24%), General Surgery (N = 2197, 15%), Orthopedic Trauma Surgery (N = 309, 2.1%). Patients admitted to pediatric departments (Pediatrics and Pediatric Surgery) underwent head CT-imaging significantly less frequently (3.8%) compared to patients treated in non-pediatric departments (18.5%; P < .001; General Surgery: 15.6%; Orthopedic Trauma Surgery: 39.2%). Logistic regression confirmed a significantly higher odds ratio (OR) for the use of cranial CT by the non-pediatric departments (OR: 3.2 [95-%-CI: 2.72-3.76]).CT was significantly less frequently used in pediatric departments. Educational efforts and quality improvement initiatives on physicians, especially in non-pediatric departments may be an effective approach to decreasing rates of CT after minor traumatic brain injuries. |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| تدمد: | 1536-5964 |
| العلاقة: | http://dx.doi.org/10.15488/5224Test; https://www.repo.uni-hannover.de/handle/123456789/5271Test |
| DOI: | 10.15488/5224 |
| الإتاحة: | https://doi.org/10.15488/5224Test https://doi.org/10.1097/MD.0000000000016320Test https://www.repo.uni-hannover.de/handle/123456789/5271Test |
| حقوق: | CC BY-NC-ND 4.0 Unported ; https://creativecommons.org/licenses/by-nc-nd/4.0Test/ ; frei zugänglich |
| رقم الانضمام: | edsbas.132593C |
| قاعدة البيانات: | BASE |
Full Text Finder | تدمد: | 15365964 |
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| DOI: | 10.15488/5224 |