Australian and New Zealand Guideline for Mild to Moderate Head Injuries in Children.

Australia Child Craniocerebral Trauma / diagnosis Emergency Service, Hospital Humans New Zealand Triage
child guideline head injury traumatic brain injury

Journal

Emergency medicine Australasia : EMA
ISSN: 1742-6723
Titre abrégé: Emerg Med Australas
Pays: Australia
ID NLM: 101199824

Informations de publication

Date de publication:
04 2021
Historique:
received: 22 12 2020
accepted: 22 12 2020
pubmed: 3 2 2021
medline: 2 10 2021
entrez: 2 2 2021
Statut: ppublish

Résumé

Children frequently present with head injuries to acute care settings. Although international paediatric clinical practice guidelines for head injuries exist, they do not address all considerations related to triage, imaging, observation versus admission, transfer, discharge and follow-up of mild to moderate head injuries relevant to the Australian and New Zealand context. The Paediatric Research in Emergency Departments International Collaborative (PREDICT) set out to develop an evidence-based, locally applicable, practical clinical guideline for the care of children with mild to moderate head injuries presenting to acute care settings. A multidisciplinary Guideline Working Group (GWG) developed 33 questions in three key areas - triage, imaging and discharge of children with mild to moderate head injuries presenting to acute care settings. We identified existing high-quality guidelines and from these guidelines recommendations were mapped to clinical questions. Updated literature searches were undertaken, and key new evidence identified. Recommendations were created through either adoption, adaptation or development of de novo recommendations. The guideline was revised after a period of public consultation. The GWG developed 71 recommendations (evidence-informed = 35, consensus-based = 17, practice points = 19), relevant to the Australian and New Zealand setting. The guideline is presented as three documents: (i) a detailed Full Guideline summarising the evidence underlying each recommendation; (ii) a Guideline Summary; and (iii) a clinical Algorithm: Imaging and Observation Decision-making for Children with Head Injuries. The PREDICT Australian and New Zealand Guideline for Mild to Moderate Head Injuries in Children provides high-level evidence and practical guidance for front line clinicians.

Identifiants

DOI: 10.1111/1742-6723.13722 PMID: 33528896
pubmed: 33528896
doi: 10.1111/1742-6723.13722
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

214-231

Informations de copyright

© 2021 Australasian College for Emergency Medicine.

Références

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Auteurs

Franz E Babl (FE)

Emergency Department, The Royal Children's Hospital, Melbourne, Victoria, Australia.
Clinical Sciences, Murdoch Children's Research Institute, Melbourne, Victoria, Australia.
Department of Paediatrics and Centre for Integrated Critical Care, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Melbourne, Victoria, Australia.
ORCID: 0000-0002-1107-2187

Emma Tavender (E)

Clinical Sciences, Murdoch Children's Research Institute, Melbourne, Victoria, Australia.
Department of Paediatrics and Centre for Integrated Critical Care, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Melbourne, Victoria, Australia.
ORCID: 0000-0002-7230-712X

Dustin W Ballard (DW)

Clinical Research on Emergency Services and Treatment (CREST) Network and Division of Research, Kaiser Permanente, Oakland, California, USA.

Meredith L Borland (ML)

Emergency Department, Perth Children's Hospital, Perth, Western Australia, Australia.
Divisions of Emergency Medicine and Paediatrics, School of Medicine, The University of Western Australia, Perth, Western Australia, Australia.
School of Nursing, Curtin University, Perth, Western Australia, Australia.

Ed Oakley (E)

Emergency Department, The Royal Children's Hospital, Melbourne, Victoria, Australia.
Clinical Sciences, Murdoch Children's Research Institute, Melbourne, Victoria, Australia.
Department of Paediatrics and Centre for Integrated Critical Care, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Melbourne, Victoria, Australia.
ORCID: 0000-0002-3712-6200

Elizabeth Cotterell (E)

School of Rural Medicine, University of New England, Armidale, New South Wales, Australia.

Lambros Halkidis (L)

Emergency Department, Cairns Hospital, Cairns, Queensland, Australia.

Stacy Goergen (S)

Monash Health Imaging, Monash Health, Melbourne, Victoria, Australia.
Departments of Surgery and Medical Imaging, School of Clinical Sciences, Monash University, Melbourne, Victoria, Australia.
ORCID: 0000-0001-9668-6809

Gavin A Davis (GA)

Clinical Sciences, Murdoch Children's Research Institute, Melbourne, Victoria, Australia.
Department of Neurosurgery, Cabrini Hospital, Melbourne, Victoria, Australia.

David Perry (D)

Radiology Department, Starship Children's Hospital, Auckland, New Zealand.

Vicki Anderson (V)

Clinical Sciences, Murdoch Children's Research Institute, Melbourne, Victoria, Australia.
Department of Paediatrics and Centre for Integrated Critical Care, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Melbourne, Victoria, Australia.
Psychology Service, The Royal Children's Hospital, Melbourne, Victoria, Australia.

Karen M Barlow (KM)

Child Health Research Centre, The University of Queensland, Brisbane, Queensland, Australia.
Neurosciences Unit, Queensland Paediatric Rehabilitation Service, Children's Health Queensland, Brisbane, Queensland, Australia.

Peter Barnett (P)

Emergency Department, The Royal Children's Hospital, Melbourne, Victoria, Australia.
Clinical Sciences, Murdoch Children's Research Institute, Melbourne, Victoria, Australia.
Department of Paediatrics and Centre for Integrated Critical Care, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Melbourne, Victoria, Australia.

Scott Bennetts (S)

Clinical Effectiveness, Ambulance Victoria, Melbourne, Victoria, Australia.

Roisin Bhamjee (R)

Department of General Practice, The University of Melbourne, Melbourne, Victoria, Australia.

Joanne Cole (J)

Emergency Department, Tauranga Hospital, Tauranga, New Zealand.

John Craven (J)

Emergency Department, Women and Children's Hospital, Adelaide, South Australia, Australia.
MedSTAR, SA Ambulance, Adelaide, South Australia, Australia.
Emergency Department, Flinders Medical Centre, Adelaide, South Australia, Australia.

Libby Haskell (L)

Children's Emergency Department, Starship Children's Hospital, Auckland, New Zealand.

Ben Lawton (B)

Child Health Research Centre, The University of Queensland, Brisbane, Queensland, Australia.
Emergency Department, Queensland Children's Hospital, Brisbane, Queensland, Australia.
Don't Forget the Bubbles, Sydney, New South Wales, Australia.
Emergency Department, Logan Hospital, Logan, Queensland, Australia.

Anna Lithgow (A)

Emergency Department, The Royal Darwin Hospital, Darwin, Northern Territory, Australia.
ORCID: 0000-0003-2675-6749

Glenda Mullen (G)

Emergency Department, Sydney Children's Hospital, Sydney, New South Wales, Australia.

Sharon O'Brien (S)

Emergency Department, Perth Children's Hospital, Perth, Western Australia, Australia.
School of Nursing, Curtin University, Perth, Western Australia, Australia.

Michelle Paproth (M)

Catherine L Wilson (CL)

Clinical Sciences, Murdoch Children's Research Institute, Melbourne, Victoria, Australia.
ORCID: 0000-0001-5893-4226

Jenny Ring (J)

Health Research Consulting, Sydney, New South Wales, Australia.

Agnes Wilson (A)

Health Research Consulting, Sydney, New South Wales, Australia.

Grace Sy Leo (GS)

Don't Forget the Bubbles, Sydney, New South Wales, Australia.
Emergency Department, Sydney Children's Hospital, Sydney, New South Wales, Australia.
School of Women and Children's Health, The University of New South Wales, Sydney, New South Wales, Australia.

Stuart R Dalziel (SR)

Children's Emergency Department, Starship Children's Hospital, Auckland, New Zealand.
Departments of Surgery and Paediatrics: Child and Youth Health, The University of Auckland, Auckland, New Zealand.

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Classifications MeSH

questionsmedicales.fr › Régions géographiques › Océanie › Australasie › Australie › Australian and New Zealand Guideline for Mild...
questionsmedicales.fr › Personnes › Tranches d'âge › Enfant › Australian and New Zealand Guideline for Mild...
questionsmedicales.fr › Plaies et blessures › Traumatismes du système nerveux › Traumatismes cranioencéphaliques › Australian and New Zealand Guideline for Mild...
questionsmedicales.fr › Administration des services de santé › Organisation et administration › Administration d'établissement de santé › Administration hospitalière › Services hospitaliers › Service hospitalier d'urgences › Australian and New Zealand Guideline for Mild...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Australian and New Zealand Guideline for Mild...
questionsmedicales.fr › Régions géographiques › Océanie › Australasie › Nouvelle-Zélande › Australian and New Zealand Guideline for Mild...
questionsmedicales.fr › Établissements, main d'oeuvre et services de soins de santé › Services de santé › Services des urgences médicales › Triage › Australian and New Zealand Guideline for Mild...