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The effect of implementing CT-scan guidelines in the management of pediatric trauma: Protocol for a scoping review
Andreas R Slente1, Emma A Tsuchiya1, Mikkel H Jensen1
1Department of Anaesthesiology, Center of Head and Orthopedics, Rigshospitalet, Copenhagen, Denmark.
Insights
This scoping review examines how introducing computed tomography (CT) scan guidelines impacts pediatric trauma care. The findings will help reduce unnecessary radiation exposure in children.
Area of Science:
- Pediatric Traumatology
- Radiology Guidelines
- Evidence-Based Medicine
Background:
- Trauma significantly impacts pediatric mortality and morbidity.
- Computed tomography (CT) is crucial in pediatric trauma management.
- Minimizing ionizing radiation exposure in children is a growing concern, as many CT scans lack clinically relevant findings.
Purpose of the Study:
- To assess the effects of implementing CT scan guidelines in pediatric trauma care.
- To review evidence on guideline introduction for CT use in pediatric trauma patients.
- To inform strategies for reducing radiation exposure in this population.
Main Methods:
- A scoping review will be conducted following PRISMA-ScR guidelines.
- Studies will be analyzed for design, patient demographics, guideline specifics, and outcomes.
- The review synthesizes existing literature on CT scan guideline implementation.
Main Results:
- Results will be presented descriptively.
- Data will be summarized in tabulated formats.
- The review will outline the evidence base for CT guideline introduction.
Conclusions:
- The review provides an overview of evidence on CT scan guidelines for pediatric trauma.
- Findings may support initiatives to decrease ionizing radiation exposure.
- This evidence can guide future practice and policy in pediatric radiology.
Background:
Trauma is a leading cause of death and disability in the pediatric population. CT has gained a key role in the management of pediatric trauma. Recently, there has been an increased focus on limiting exposure to ionizing radiation in pediatric patients. Furthermore, most CT scans performed in the management of pediatric trauma are without clinically relevant findings. Therefore, the proposed scoping review aims to assess the effects of introducing a guideline addressing whether pediatric trauma patients should undergo a CT scan.
Methods:
In accordance with the Preferred reporting items for systematic review and meta-analysis extension for scoping reviews (PRISMA-ScR) we will conduct a scoping review assessing the effect of implementing CT-scan guidelines in the management of pediatric trauma. We will examine study design, patient characteristics, details of implemented guidelines, and outcomes across included studies.
Results:
Results will be reported both descriptively and in tabulated form.
Conclusion:
The proposed scoping review will provide an overview of the published evidence concerning the introduction of CT-scan guidelines for the management of pediatric trauma. This might aid in the implementation of further initiatives to reduce ionizing radiation exposure in the pediatric trauma population.
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