{"title":"儿科急诊应用研究网络(PECARN)在儿科创伤患者中的有效性——来自巴基斯坦一家三级医院的横断面研究","authors":"Naureen Naseer, N. Kapadia, Sarwat Masud","doi":"10.21649/akemu.v28i1.4994","DOIUrl":null,"url":null,"abstract":"Introduction: Head trauma in the pediatric age group is a common presentation in the Emergency Room (ER). The\nPediatric Emergency Care Applied Research Network (PECARN) tool can help an ER clinician to identify pediatric head\ntrauma patients at very low risk of clinically important traumatic brain injuries (ciTBIs) and avoid unnecessary CT scans.\nObjective: To determine the validity of PECARN rule as compared to the head CT (gold standard) in identifying low risk\ntraumatic brain injury pediatric patients. Methods: A cross-sectional study was done at Aga Khan University Hospital (AKUH) Emergency Department ED. All pediatric head trauma patients were included in this study between 2017-2019. A total of 218 head trauma cases were reviewed which were evaluated for the PECARN criteria. Data were extracted on a prepared data collection form. Data were entered and analyzed using SPSS. Chi-square test was used. Results: Among the total 218, 190 cases (87%) had CT scans ordered. Out of these 190 patients 156 (82%) met PECARN criteria, while 34 (18%) were PECARN negative. The sensitivity and specificity of PECARN was calculated as 82% and 33% respectively, with a fair level of agreement with CT scan based on Kappa statistics. Conclusion: PECARN has a higher sensitivity but lower specificity in comparison to CT scan. ","PeriodicalId":43918,"journal":{"name":"Annals of King Edward Medical University Lahore Pakistan","volume":null,"pages":null},"PeriodicalIF":0.1000,"publicationDate":"2022-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Validity of Pediatric Emergency Care Applied Research Network (PECARN) in Pediatric Trauma Patients - A Cross Sectional Study from a Tertiary Care Hospital in Pakistan\",\"authors\":\"Naureen Naseer, N. Kapadia, Sarwat Masud\",\"doi\":\"10.21649/akemu.v28i1.4994\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Introduction: Head trauma in the pediatric age group is a common presentation in the Emergency Room (ER). The\\nPediatric Emergency Care Applied Research Network (PECARN) tool can help an ER clinician to identify pediatric head\\ntrauma patients at very low risk of clinically important traumatic brain injuries (ciTBIs) and avoid unnecessary CT scans.\\nObjective: To determine the validity of PECARN rule as compared to the head CT (gold standard) in identifying low risk\\ntraumatic brain injury pediatric patients. Methods: A cross-sectional study was done at Aga Khan University Hospital (AKUH) Emergency Department ED. All pediatric head trauma patients were included in this study between 2017-2019. A total of 218 head trauma cases were reviewed which were evaluated for the PECARN criteria. Data were extracted on a prepared data collection form. Data were entered and analyzed using SPSS. Chi-square test was used. Results: Among the total 218, 190 cases (87%) had CT scans ordered. Out of these 190 patients 156 (82%) met PECARN criteria, while 34 (18%) were PECARN negative. The sensitivity and specificity of PECARN was calculated as 82% and 33% respectively, with a fair level of agreement with CT scan based on Kappa statistics. Conclusion: PECARN has a higher sensitivity but lower specificity in comparison to CT scan. \",\"PeriodicalId\":43918,\"journal\":{\"name\":\"Annals of King Edward Medical University Lahore Pakistan\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.1000,\"publicationDate\":\"2022-05-23\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Annals of King Edward Medical University Lahore Pakistan\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.21649/akemu.v28i1.4994\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"MEDICINE, GENERAL & INTERNAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Annals of King Edward Medical University Lahore Pakistan","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.21649/akemu.v28i1.4994","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}
Validity of Pediatric Emergency Care Applied Research Network (PECARN) in Pediatric Trauma Patients - A Cross Sectional Study from a Tertiary Care Hospital in Pakistan
Introduction: Head trauma in the pediatric age group is a common presentation in the Emergency Room (ER). The
Pediatric Emergency Care Applied Research Network (PECARN) tool can help an ER clinician to identify pediatric head
trauma patients at very low risk of clinically important traumatic brain injuries (ciTBIs) and avoid unnecessary CT scans.
Objective: To determine the validity of PECARN rule as compared to the head CT (gold standard) in identifying low risk
traumatic brain injury pediatric patients. Methods: A cross-sectional study was done at Aga Khan University Hospital (AKUH) Emergency Department ED. All pediatric head trauma patients were included in this study between 2017-2019. A total of 218 head trauma cases were reviewed which were evaluated for the PECARN criteria. Data were extracted on a prepared data collection form. Data were entered and analyzed using SPSS. Chi-square test was used. Results: Among the total 218, 190 cases (87%) had CT scans ordered. Out of these 190 patients 156 (82%) met PECARN criteria, while 34 (18%) were PECARN negative. The sensitivity and specificity of PECARN was calculated as 82% and 33% respectively, with a fair level of agreement with CT scan based on Kappa statistics. Conclusion: PECARN has a higher sensitivity but lower specificity in comparison to CT scan.