Research
Validation and refinement of a clinical decision rule for the use of computed tomography in children with minor head injury in the emergency department
Martin H. Osmond, Terry P. Klassen, George A. Wells, Jennifer Davidson, Rhonda Correll, Kathy Boutis, Gary Joubert, Serge Gouin, Simi Khangura, Troy Turner, Francois Belanger, Norm Silver, Brett Taylor, Janet Curran and Ian G. Stiell; for the Pediatric Emergency Research Canada (PERC) Head Injury Study Group
CMAJ July 09, 2018 190 (27) E816-E822; DOI: https://doi.org/10.1503/cmaj.170406
Martin H. Osmond
Department of Pediatrics and Children’s Hospital of Eastern Ontario Research Institute (Osmond), University of Ottawa, Ottawa, Ont.; Department of Pediatrics and Child Health (Klassen, Silver), University of Manitoba, Winnipeg, Man.; School of Epidemiology and Public Health (Wells), University of Ottawa, Ottawa, Ont.; Department of Pediatrics (Davidson, Belanger), University of Calgary, Calgary, Alta.; Clinical Research Unit (Correll), Children’s Hospital of Eastern Ontario Research Institute, Ottawa, Ont.; Department of Pediatrics, and Child Health Evaluative Sciences Research Institute, Hospital for Sick Children (Boutis), University of Toronto, Toronto, Ont.; Department of Paediatrics (Joubert), Western University, London, Ont.; Paediatric Department (Gouin), CHU Sainte-Justine, Montréal, Que.; Department of Pediatrics (Khangura), University of British Columbia, Vancouver, BC; Department of Pediatrics (Turner), University of Alberta, Edmonton, Alta.; Department of Pediatrics (Taylor, Curran), Dalhousie University, Halifax, NS; Department of Emergency Medicine and Ottawa Hospital Research Institute (Stiell), University of Ottawa, Ottawa, Ont.
MDCMTerry P. Klassen
Department of Pediatrics and Children’s Hospital of Eastern Ontario Research Institute (Osmond), University of Ottawa, Ottawa, Ont.; Department of Pediatrics and Child Health (Klassen, Silver), University of Manitoba, Winnipeg, Man.; School of Epidemiology and Public Health (Wells), University of Ottawa, Ottawa, Ont.; Department of Pediatrics (Davidson, Belanger), University of Calgary, Calgary, Alta.; Clinical Research Unit (Correll), Children’s Hospital of Eastern Ontario Research Institute, Ottawa, Ont.; Department of Pediatrics, and Child Health Evaluative Sciences Research Institute, Hospital for Sick Children (Boutis), University of Toronto, Toronto, Ont.; Department of Paediatrics (Joubert), Western University, London, Ont.; Paediatric Department (Gouin), CHU Sainte-Justine, Montréal, Que.; Department of Pediatrics (Khangura), University of British Columbia, Vancouver, BC; Department of Pediatrics (Turner), University of Alberta, Edmonton, Alta.; Department of Pediatrics (Taylor, Curran), Dalhousie University, Halifax, NS; Department of Emergency Medicine and Ottawa Hospital Research Institute (Stiell), University of Ottawa, Ottawa, Ont.
MDGeorge A. Wells
Department of Pediatrics and Children’s Hospital of Eastern Ontario Research Institute (Osmond), University of Ottawa, Ottawa, Ont.; Department of Pediatrics and Child Health (Klassen, Silver), University of Manitoba, Winnipeg, Man.; School of Epidemiology and Public Health (Wells), University of Ottawa, Ottawa, Ont.; Department of Pediatrics (Davidson, Belanger), University of Calgary, Calgary, Alta.; Clinical Research Unit (Correll), Children’s Hospital of Eastern Ontario Research Institute, Ottawa, Ont.; Department of Pediatrics, and Child Health Evaluative Sciences Research Institute, Hospital for Sick Children (Boutis), University of Toronto, Toronto, Ont.; Department of Paediatrics (Joubert), Western University, London, Ont.; Paediatric Department (Gouin), CHU Sainte-Justine, Montréal, Que.; Department of Pediatrics (Khangura), University of British Columbia, Vancouver, BC; Department of Pediatrics (Turner), University of Alberta, Edmonton, Alta.; Department of Pediatrics (Taylor, Curran), Dalhousie University, Halifax, NS; Department of Emergency Medicine and Ottawa Hospital Research Institute (Stiell), University of Ottawa, Ottawa, Ont.
PhDJennifer Davidson
Department of Pediatrics and Children’s Hospital of Eastern Ontario Research Institute (Osmond), University of Ottawa, Ottawa, Ont.; Department of Pediatrics and Child Health (Klassen, Silver), University of Manitoba, Winnipeg, Man.; School of Epidemiology and Public Health (Wells), University of Ottawa, Ottawa, Ont.; Department of Pediatrics (Davidson, Belanger), University of Calgary, Calgary, Alta.; Clinical Research Unit (Correll), Children’s Hospital of Eastern Ontario Research Institute, Ottawa, Ont.; Department of Pediatrics, and Child Health Evaluative Sciences Research Institute, Hospital for Sick Children (Boutis), University of Toronto, Toronto, Ont.; Department of Paediatrics (Joubert), Western University, London, Ont.; Paediatric Department (Gouin), CHU Sainte-Justine, Montréal, Que.; Department of Pediatrics (Khangura), University of British Columbia, Vancouver, BC; Department of Pediatrics (Turner), University of Alberta, Edmonton, Alta.; Department of Pediatrics (Taylor, Curran), Dalhousie University, Halifax, NS; Department of Emergency Medicine and Ottawa Hospital Research Institute (Stiell), University of Ottawa, Ottawa, Ont.
RNRhonda Correll
Department of Pediatrics and Children’s Hospital of Eastern Ontario Research Institute (Osmond), University of Ottawa, Ottawa, Ont.; Department of Pediatrics and Child Health (Klassen, Silver), University of Manitoba, Winnipeg, Man.; School of Epidemiology and Public Health (Wells), University of Ottawa, Ottawa, Ont.; Department of Pediatrics (Davidson, Belanger), University of Calgary, Calgary, Alta.; Clinical Research Unit (Correll), Children’s Hospital of Eastern Ontario Research Institute, Ottawa, Ont.; Department of Pediatrics, and Child Health Evaluative Sciences Research Institute, Hospital for Sick Children (Boutis), University of Toronto, Toronto, Ont.; Department of Paediatrics (Joubert), Western University, London, Ont.; Paediatric Department (Gouin), CHU Sainte-Justine, Montréal, Que.; Department of Pediatrics (Khangura), University of British Columbia, Vancouver, BC; Department of Pediatrics (Turner), University of Alberta, Edmonton, Alta.; Department of Pediatrics (Taylor, Curran), Dalhousie University, Halifax, NS; Department of Emergency Medicine and Ottawa Hospital Research Institute (Stiell), University of Ottawa, Ottawa, Ont.
RNKathy Boutis
Department of Pediatrics and Children’s Hospital of Eastern Ontario Research Institute (Osmond), University of Ottawa, Ottawa, Ont.; Department of Pediatrics and Child Health (Klassen, Silver), University of Manitoba, Winnipeg, Man.; School of Epidemiology and Public Health (Wells), University of Ottawa, Ottawa, Ont.; Department of Pediatrics (Davidson, Belanger), University of Calgary, Calgary, Alta.; Clinical Research Unit (Correll), Children’s Hospital of Eastern Ontario Research Institute, Ottawa, Ont.; Department of Pediatrics, and Child Health Evaluative Sciences Research Institute, Hospital for Sick Children (Boutis), University of Toronto, Toronto, Ont.; Department of Paediatrics (Joubert), Western University, London, Ont.; Paediatric Department (Gouin), CHU Sainte-Justine, Montréal, Que.; Department of Pediatrics (Khangura), University of British Columbia, Vancouver, BC; Department of Pediatrics (Turner), University of Alberta, Edmonton, Alta.; Department of Pediatrics (Taylor, Curran), Dalhousie University, Halifax, NS; Department of Emergency Medicine and Ottawa Hospital Research Institute (Stiell), University of Ottawa, Ottawa, Ont.
MDGary Joubert
Department of Pediatrics and Children’s Hospital of Eastern Ontario Research Institute (Osmond), University of Ottawa, Ottawa, Ont.; Department of Pediatrics and Child Health (Klassen, Silver), University of Manitoba, Winnipeg, Man.; School of Epidemiology and Public Health (Wells), University of Ottawa, Ottawa, Ont.; Department of Pediatrics (Davidson, Belanger), University of Calgary, Calgary, Alta.; Clinical Research Unit (Correll), Children’s Hospital of Eastern Ontario Research Institute, Ottawa, Ont.; Department of Pediatrics, and Child Health Evaluative Sciences Research Institute, Hospital for Sick Children (Boutis), University of Toronto, Toronto, Ont.; Department of Paediatrics (Joubert), Western University, London, Ont.; Paediatric Department (Gouin), CHU Sainte-Justine, Montréal, Que.; Department of Pediatrics (Khangura), University of British Columbia, Vancouver, BC; Department of Pediatrics (Turner), University of Alberta, Edmonton, Alta.; Department of Pediatrics (Taylor, Curran), Dalhousie University, Halifax, NS; Department of Emergency Medicine and Ottawa Hospital Research Institute (Stiell), University of Ottawa, Ottawa, Ont.
MDSerge Gouin
Department of Pediatrics and Children’s Hospital of Eastern Ontario Research Institute (Osmond), University of Ottawa, Ottawa, Ont.; Department of Pediatrics and Child Health (Klassen, Silver), University of Manitoba, Winnipeg, Man.; School of Epidemiology and Public Health (Wells), University of Ottawa, Ottawa, Ont.; Department of Pediatrics (Davidson, Belanger), University of Calgary, Calgary, Alta.; Clinical Research Unit (Correll), Children’s Hospital of Eastern Ontario Research Institute, Ottawa, Ont.; Department of Pediatrics, and Child Health Evaluative Sciences Research Institute, Hospital for Sick Children (Boutis), University of Toronto, Toronto, Ont.; Department of Paediatrics (Joubert), Western University, London, Ont.; Paediatric Department (Gouin), CHU Sainte-Justine, Montréal, Que.; Department of Pediatrics (Khangura), University of British Columbia, Vancouver, BC; Department of Pediatrics (Turner), University of Alberta, Edmonton, Alta.; Department of Pediatrics (Taylor, Curran), Dalhousie University, Halifax, NS; Department of Emergency Medicine and Ottawa Hospital Research Institute (Stiell), University of Ottawa, Ottawa, Ont.
MDSimi Khangura
Department of Pediatrics and Children’s Hospital of Eastern Ontario Research Institute (Osmond), University of Ottawa, Ottawa, Ont.; Department of Pediatrics and Child Health (Klassen, Silver), University of Manitoba, Winnipeg, Man.; School of Epidemiology and Public Health (Wells), University of Ottawa, Ottawa, Ont.; Department of Pediatrics (Davidson, Belanger), University of Calgary, Calgary, Alta.; Clinical Research Unit (Correll), Children’s Hospital of Eastern Ontario Research Institute, Ottawa, Ont.; Department of Pediatrics, and Child Health Evaluative Sciences Research Institute, Hospital for Sick Children (Boutis), University of Toronto, Toronto, Ont.; Department of Paediatrics (Joubert), Western University, London, Ont.; Paediatric Department (Gouin), CHU Sainte-Justine, Montréal, Que.; Department of Pediatrics (Khangura), University of British Columbia, Vancouver, BC; Department of Pediatrics (Turner), University of Alberta, Edmonton, Alta.; Department of Pediatrics (Taylor, Curran), Dalhousie University, Halifax, NS; Department of Emergency Medicine and Ottawa Hospital Research Institute (Stiell), University of Ottawa, Ottawa, Ont.
MDTroy Turner
Department of Pediatrics and Children’s Hospital of Eastern Ontario Research Institute (Osmond), University of Ottawa, Ottawa, Ont.; Department of Pediatrics and Child Health (Klassen, Silver), University of Manitoba, Winnipeg, Man.; School of Epidemiology and Public Health (Wells), University of Ottawa, Ottawa, Ont.; Department of Pediatrics (Davidson, Belanger), University of Calgary, Calgary, Alta.; Clinical Research Unit (Correll), Children’s Hospital of Eastern Ontario Research Institute, Ottawa, Ont.; Department of Pediatrics, and Child Health Evaluative Sciences Research Institute, Hospital for Sick Children (Boutis), University of Toronto, Toronto, Ont.; Department of Paediatrics (Joubert), Western University, London, Ont.; Paediatric Department (Gouin), CHU Sainte-Justine, Montréal, Que.; Department of Pediatrics (Khangura), University of British Columbia, Vancouver, BC; Department of Pediatrics (Turner), University of Alberta, Edmonton, Alta.; Department of Pediatrics (Taylor, Curran), Dalhousie University, Halifax, NS; Department of Emergency Medicine and Ottawa Hospital Research Institute (Stiell), University of Ottawa, Ottawa, Ont.
MDFrancois Belanger
Department of Pediatrics and Children’s Hospital of Eastern Ontario Research Institute (Osmond), University of Ottawa, Ottawa, Ont.; Department of Pediatrics and Child Health (Klassen, Silver), University of Manitoba, Winnipeg, Man.; School of Epidemiology and Public Health (Wells), University of Ottawa, Ottawa, Ont.; Department of Pediatrics (Davidson, Belanger), University of Calgary, Calgary, Alta.; Clinical Research Unit (Correll), Children’s Hospital of Eastern Ontario Research Institute, Ottawa, Ont.; Department of Pediatrics, and Child Health Evaluative Sciences Research Institute, Hospital for Sick Children (Boutis), University of Toronto, Toronto, Ont.; Department of Paediatrics (Joubert), Western University, London, Ont.; Paediatric Department (Gouin), CHU Sainte-Justine, Montréal, Que.; Department of Pediatrics (Khangura), University of British Columbia, Vancouver, BC; Department of Pediatrics (Turner), University of Alberta, Edmonton, Alta.; Department of Pediatrics (Taylor, Curran), Dalhousie University, Halifax, NS; Department of Emergency Medicine and Ottawa Hospital Research Institute (Stiell), University of Ottawa, Ottawa, Ont.
MDNorm Silver
Department of Pediatrics and Children’s Hospital of Eastern Ontario Research Institute (Osmond), University of Ottawa, Ottawa, Ont.; Department of Pediatrics and Child Health (Klassen, Silver), University of Manitoba, Winnipeg, Man.; School of Epidemiology and Public Health (Wells), University of Ottawa, Ottawa, Ont.; Department of Pediatrics (Davidson, Belanger), University of Calgary, Calgary, Alta.; Clinical Research Unit (Correll), Children’s Hospital of Eastern Ontario Research Institute, Ottawa, Ont.; Department of Pediatrics, and Child Health Evaluative Sciences Research Institute, Hospital for Sick Children (Boutis), University of Toronto, Toronto, Ont.; Department of Paediatrics (Joubert), Western University, London, Ont.; Paediatric Department (Gouin), CHU Sainte-Justine, Montréal, Que.; Department of Pediatrics (Khangura), University of British Columbia, Vancouver, BC; Department of Pediatrics (Turner), University of Alberta, Edmonton, Alta.; Department of Pediatrics (Taylor, Curran), Dalhousie University, Halifax, NS; Department of Emergency Medicine and Ottawa Hospital Research Institute (Stiell), University of Ottawa, Ottawa, Ont.
MDBrett Taylor
Department of Pediatrics and Children’s Hospital of Eastern Ontario Research Institute (Osmond), University of Ottawa, Ottawa, Ont.; Department of Pediatrics and Child Health (Klassen, Silver), University of Manitoba, Winnipeg, Man.; School of Epidemiology and Public Health (Wells), University of Ottawa, Ottawa, Ont.; Department of Pediatrics (Davidson, Belanger), University of Calgary, Calgary, Alta.; Clinical Research Unit (Correll), Children’s Hospital of Eastern Ontario Research Institute, Ottawa, Ont.; Department of Pediatrics, and Child Health Evaluative Sciences Research Institute, Hospital for Sick Children (Boutis), University of Toronto, Toronto, Ont.; Department of Paediatrics (Joubert), Western University, London, Ont.; Paediatric Department (Gouin), CHU Sainte-Justine, Montréal, Que.; Department of Pediatrics (Khangura), University of British Columbia, Vancouver, BC; Department of Pediatrics (Turner), University of Alberta, Edmonton, Alta.; Department of Pediatrics (Taylor, Curran), Dalhousie University, Halifax, NS; Department of Emergency Medicine and Ottawa Hospital Research Institute (Stiell), University of Ottawa, Ottawa, Ont.
MDJanet Curran
Department of Pediatrics and Children’s Hospital of Eastern Ontario Research Institute (Osmond), University of Ottawa, Ottawa, Ont.; Department of Pediatrics and Child Health (Klassen, Silver), University of Manitoba, Winnipeg, Man.; School of Epidemiology and Public Health (Wells), University of Ottawa, Ottawa, Ont.; Department of Pediatrics (Davidson, Belanger), University of Calgary, Calgary, Alta.; Clinical Research Unit (Correll), Children’s Hospital of Eastern Ontario Research Institute, Ottawa, Ont.; Department of Pediatrics, and Child Health Evaluative Sciences Research Institute, Hospital for Sick Children (Boutis), University of Toronto, Toronto, Ont.; Department of Paediatrics (Joubert), Western University, London, Ont.; Paediatric Department (Gouin), CHU Sainte-Justine, Montréal, Que.; Department of Pediatrics (Khangura), University of British Columbia, Vancouver, BC; Department of Pediatrics (Turner), University of Alberta, Edmonton, Alta.; Department of Pediatrics (Taylor, Curran), Dalhousie University, Halifax, NS; Department of Emergency Medicine and Ottawa Hospital Research Institute (Stiell), University of Ottawa, Ottawa, Ont.
PhDIan G. Stiell
Department of Pediatrics and Children’s Hospital of Eastern Ontario Research Institute (Osmond), University of Ottawa, Ottawa, Ont.; Department of Pediatrics and Child Health (Klassen, Silver), University of Manitoba, Winnipeg, Man.; School of Epidemiology and Public Health (Wells), University of Ottawa, Ottawa, Ont.; Department of Pediatrics (Davidson, Belanger), University of Calgary, Calgary, Alta.; Clinical Research Unit (Correll), Children’s Hospital of Eastern Ontario Research Institute, Ottawa, Ont.; Department of Pediatrics, and Child Health Evaluative Sciences Research Institute, Hospital for Sick Children (Boutis), University of Toronto, Toronto, Ont.; Department of Paediatrics (Joubert), Western University, London, Ont.; Paediatric Department (Gouin), CHU Sainte-Justine, Montréal, Que.; Department of Pediatrics (Khangura), University of British Columbia, Vancouver, BC; Department of Pediatrics (Turner), University of Alberta, Edmonton, Alta.; Department of Pediatrics (Taylor, Curran), Dalhousie University, Halifax, NS; Department of Emergency Medicine and Ottawa Hospital Research Institute (Stiell), University of Ottawa, Ottawa, Ont.
MDArticle Information
vol. 190 no. 27 E816-E822
PubMed
History
- Accepted March 13, 2018
- Published online July 8, 2018.
Copyright & Usage
© 2018 Joule Inc. or its licensors
Author Information
- Martin H. Osmond, MDCM,
- Terry P. Klassen, MD,
- George A. Wells, PhD,
- Jennifer Davidson, RN,
- Rhonda Correll, RN,
- Kathy Boutis, MD,
- Gary Joubert, MD,
- Serge Gouin, MD,
- Simi Khangura, MD,
- Troy Turner, MD,
- Francois Belanger, MD,
- Norm Silver, MD,
- Brett Taylor, MD,
- Janet Curran, PhD,
- Ian G. Stiell, MD
- for the Pediatric Emergency Research Canada (PERC) Head Injury Study Group
- Department of Pediatrics and Children’s Hospital of Eastern Ontario Research Institute (Osmond), University of Ottawa, Ottawa, Ont.; Department of Pediatrics and Child Health (Klassen, Silver), University of Manitoba, Winnipeg, Man.; School of Epidemiology and Public Health (Wells), University of Ottawa, Ottawa, Ont.; Department of Pediatrics (Davidson, Belanger), University of Calgary, Calgary, Alta.; Clinical Research Unit (Correll), Children’s Hospital of Eastern Ontario Research Institute, Ottawa, Ont.; Department of Pediatrics, and Child Health Evaluative Sciences Research Institute, Hospital for Sick Children (Boutis), University of Toronto, Toronto, Ont.; Department of Paediatrics (Joubert), Western University, London, Ont.; Paediatric Department (Gouin), CHU Sainte-Justine, Montréal, Que.; Department of Pediatrics (Khangura), University of British Columbia, Vancouver, BC; Department of Pediatrics (Turner), University of Alberta, Edmonton, Alta.; Department of Pediatrics (Taylor, Curran), Dalhousie University, Halifax, NS; Department of Emergency Medicine and Ottawa Hospital Research Institute (Stiell), University of Ottawa, Ottawa, Ont.
- Correspondence to: Martin Osmond, osmond{at}cheo.on.ca
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Validation and refinement of a clinical decision rule for the use of computed tomography in children with minor head injury in the emergency department
Martin H. Osmond, Terry P. Klassen, George A. Wells, Jennifer Davidson, Rhonda Correll, Kathy Boutis, Gary Joubert, Serge Gouin, Simi Khangura, Troy Turner, Francois Belanger, Norm Silver, Brett Taylor, Janet Curran, Ian G. Stiell
CMAJ Jul 2018, 190 (27) E816-E822; DOI: 10.1503/cmaj.170406
Validation and refinement of a clinical decision rule for the use of computed tomography in children with minor head injury in the emergency department
Martin H. Osmond, Terry P. Klassen, George A. Wells, Jennifer Davidson, Rhonda Correll, Kathy Boutis, Gary Joubert, Serge Gouin, Simi Khangura, Troy Turner, Francois Belanger, Norm Silver, Brett Taylor, Janet Curran, Ian G. Stiell
CMAJ Jul 2018, 190 (27) E816-E822; DOI: 10.1503/cmaj.170406
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