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    E-ISSN: 2717-9206
    Contribution of Cranial Computed Tomographies to Patient Management in Pediatric Emergency Department
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    Original Research
    VOLUME: 2 ISSUE: 1
    P: 1-6
    April 2015

    Contribution of Cranial Computed Tomographies to Patient Management in Pediatric Emergency Department

    J Pediatr Emerg Intensive Care Med 2015;2(1):1-6
    DOI: 10.5505/cayb.2015.58077
    Halise Akça 1
    Nilden Tuygun 1
    Can Demir Karacan 1
    Yasemin Taşcı Yıldız 2
    1. Dr. Sami Ulus Kadın Doğum Çocuk Sağlığı Ve Hastalıkları Eğitim Ve Araştırma Hastanesi, Çocuk Acil Kliniği, Ankara, Türkiye
    2. Dr. Sami Ulus Kadin Dogum Çocuk Sagligi Ve Hastaliklari Egitim Ve Arastirma Hastanesi, Çocuk Acil Klinigi, Ankara, Türkiye
    3. Dr. Sami Ulus Kadin Dogum Çocuk Sagligi Ve Hastaliklari Egitim Ve Arastirma Hastanesi, Radyoloji Ünitesi, Ankara, Türkiye
    4. Dr. Sami Ulus Kadın Doğum Çocuk Sağlığı Ve Hastalıkları Eğitim Ve Araştırma Hastanesi, Radyoloji Ünitesi, Ankara, Türkiye
    No information available.
    No information available
    Received Date: 16.12.2014
    Accepted Date: 30.12.2014
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    ABSTRACT

    OBJECTIVE:

    Computed tomography is an important imaging method in pediatric patients in diagnosis and follow-up. It can lead to livesaving actions, but it can be also harmful because of ionized radiation. In this study, we aimed to evaluate the clinical indications and impacts of cranial computed tomographies on clinical outcomes of the patients who were admitted to Pediatric Emergency Service.

    METHODS:

    AMedical reports of 837 computed tomographies which were performed in patients aged in 0 to 18 years with minor head trauma or non-traumatic condition in Pediatric Emergency Service were investigated in an eight year period, retrospectively.

    RESULTS:

    Main complaints were seizure (49.2%) and altered consciousness (19.2%) in patients who underwent computed tomography. The majority of the CT’ s (83.6%) were evaluated as normal. Only 5.2% of patients required neurosurgical consultation.

    CONCLUSION:

    As a result of the increasing crowding in emergency departments, emergency physicians are faced with challenges to ensure high quality and safe care. Clinical decision making scales and evidence-based guidelines are needed for optimal use of of computed tomographies in Pediatric Emergency Department.

    Keywords: Cranial computed tomography, child, minor head trauma

    References

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