Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Video

Updated: Mar 5, 2026

Assessing Changes in Synaptic Plasticity Using an Awake Closed-Head Injury Model of Mild Traumatic Brain Injury
09:49

Assessing Changes in Synaptic Plasticity Using an Awake Closed-Head Injury Model of Mild Traumatic Brain Injury

Published on: January 20, 2023

3.9K

Use of Traumatic Brain Injury Prediction Rules With Clinical Decision Support.

Peter S Dayan1, Dustin W Ballard2,3, Eric Tham4

  • 1Division of Emergency Medicine, Department of Pediatrics, Columbia University College of Physicians and Surgeons, New York, New York; psd6@columbia.edu.

Pediatrics
|March 26, 2017
PubMed

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Designing a web-based factorial survey experiment on diagnostic evaluation of cardiovascular symptoms in emergency care.

Research and practice in thrombosis and haemostasis·2026
Same author

Antenatal Pulmonary Embolism Diagnostics in Pregnant Patients with SARS-CoV-2 Infection in Community Hospitals.

TH open : companion journal to thrombosis and haemostasis·2026
Same author

Guideline-Discordant Bronchiolitis Care in Community Emergency Departments.

The Journal of pediatrics·2026
Same author

The Long Tail of Long COVID-19: Broad and Extensive Increase in Utilization Within an Integrated Healthcare System.

Cureus·2026
Same author

Preemptive Anticoagulation for Patients With Suspected Pulmonary Embolism in the Emergency Department: An International Survey of Emergency Physicians.

Academic emergency medicine : official journal of the Society for Academic Emergency Medicine·2026
Same author

Association Between Emergency Department Undertriage or Overtriage With Timeliness of Care and Patient Outcomes.

Annals of emergency medicine·2026
Summary
This summary is machine-generated.

Implementing clinical decision support with Pediatric Emergency Care Applied Research Network (PECARN) traumatic brain injury (TBI) rules modestly reduced computed tomography (CT) use in children with minor head trauma, though results varied by site.

Area of Science:

  • Pediatric Emergency Medicine
  • Radiology
  • Clinical Decision Support Systems

Background:

  • Computed tomography (CT) is frequently overused in evaluating minor head trauma in children.
  • The Pediatric Emergency Care Applied Research Network (PECARN) developed prediction rules to identify children at very low risk of clinically important traumatic brain injury (ciTBI).
  • Computerized clinical decision support (CDS) can integrate these rules and risk information to guide CT utilization.

Purpose of the Study:

  • To evaluate the impact of implementing PECARN TBI prediction rules and CDS on CT utilization for pediatric patients with minor head trauma.
  • To assess whether providing risk stratification for ciTBI alongside CDS recommendations influences CT ordering patterns.

Main Methods:

  • A nonrandomized trial with concurrent controls was conducted across 5 pediatric emergency departments (PEDs) and 8 general emergency departments (GEDs).

More Related Videos

Murine Model of Controlled Cortical Impact for the Induction of Traumatic Brain Injury
05:01

Murine Model of Controlled Cortical Impact for the Induction of Traumatic Brain Injury

Published on: August 16, 2019

11.2K
Controlled Cortical Impact Model for Traumatic Brain Injury
05:30

Controlled Cortical Impact Model for Traumatic Brain Injury

Published on: August 5, 2014

29.8K

Related Experiment Videos

Last Updated: Mar 5, 2026

Assessing Changes in Synaptic Plasticity Using an Awake Closed-Head Injury Model of Mild Traumatic Brain Injury
09:49

Assessing Changes in Synaptic Plasticity Using an Awake Closed-Head Injury Model of Mild Traumatic Brain Injury

Published on: January 20, 2023

3.9K
Murine Model of Controlled Cortical Impact for the Induction of Traumatic Brain Injury
05:01

Murine Model of Controlled Cortical Impact for the Induction of Traumatic Brain Injury

Published on: August 16, 2019

11.2K
Controlled Cortical Impact Model for Traumatic Brain Injury
05:30

Controlled Cortical Impact Model for Traumatic Brain Injury

Published on: August 5, 2014

29.8K
  • Intervention sites utilized CDS providing CT recommendations and ciTBI risks based on PECARN criteria.
  • The primary outcome was the rate of CT scans performed on patients under 18 years old with minor blunt head trauma, analyzed by site and controlling for time trends.

    • Main Results:

    • CT rates decreased modestly (2.3%-3.7%) at 2 of 4 intervention PEDs for children at very low risk, with smaller, nonsignificant decreases at the other 2 PEDs.
    • Intervention GEDs showed inconsistent CT rate decreases, with low baseline CT use in the very low-risk group.
    • Overall, intervention sites demonstrated small decreases in CT rates (1.7%-6.2%) across all children with minor head trauma.

    Conclusions:

    • Implementation of TBI prediction rules and CDS resulted in modest, safe, but variable reductions in CT use for children with minor head trauma.
    • The effectiveness of CDS varied across different emergency department settings (PEDs vs. GEDs).
    • Observed secular trends also contributed to changes in CT utilization during the study period.