dc.identifier.uri |
http://dx.doi.org/10.15488/5224 |
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dc.identifier.uri |
https://www.repo.uni-hannover.de/handle/123456789/5271 |
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dc.contributor.author |
Klora, Mike
|
|
dc.contributor.author |
Zeidler, Jan
|
|
dc.contributor.author |
Bassler, Stefan
|
|
dc.contributor.author |
Hirsch, Franz Wolfgang
|
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dc.contributor.author |
Gosemann, Jan-Hendrik
|
|
dc.contributor.author |
Lacher, Martin
|
|
dc.contributor.author |
Zimmermann, Peter
|
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dc.date.accessioned |
2019-08-26T07:56:07Z |
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dc.date.available |
2019-08-26T07:56:07Z |
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dc.date.issued |
2019 |
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dc.identifier.citation |
Klora, M.; Zeidler, J.; Bassler, S.; Hirsch, F.W.; Gosemann, J.-H. et al.: Frequency of neuroimaging for pediatric minor brain injury is determined by the primary treating medical department. In: Medicine 98 (2019), Nr. 28, e16320. DOI: https://doi.org/10.1097/MD.0000000000016320 |
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dc.description.abstract |
To investigate the use of neuroimaging in children and adolescents with minor brain injury in pediatric and non-pediatric departments.In this observational cohort study data were extracted from a large German statutory health insurance (AOK Plus Dresden ∼3.1 million clients) in a 7-year period (2010-2016). All patients with International Classification of Diseases (ICD) code S06.0 (concussion; minor brain injury; commotio cerebri) aged ≤ 18 years were included. Demographic and clinical data were analyzed by logistic regression analysis for associations with the use of CT and MRI (independent variables: gender, age, length of stay, pediatric vs non-pediatric department, university vs non-university hospital).A total of 14,805 children with minor brain injuries (mean age 6.0 ± 5.6; 45.5% females) were included. Treatment was provided by different medical departments: Pediatrics (N = 8717; 59%), Pediatric Surgery (N = 3582, 24%), General Surgery (N = 2197, 15%), Orthopedic Trauma Surgery (N = 309, 2.1%). Patients admitted to pediatric departments (Pediatrics and Pediatric Surgery) underwent head CT-imaging significantly less frequently (3.8%) compared to patients treated in non-pediatric departments (18.5%; P < .001; General Surgery: 15.6%; Orthopedic Trauma Surgery: 39.2%). Logistic regression confirmed a significantly higher odds ratio (OR) for the use of cranial CT by the non-pediatric departments (OR: 3.2 [95-%-CI: 2.72-3.76]).CT was significantly less frequently used in pediatric departments. Educational efforts and quality improvement initiatives on physicians, especially in non-pediatric departments may be an effective approach to decreasing rates of CT after minor traumatic brain injuries. |
eng |
dc.language.iso |
eng |
|
dc.publisher |
Philadelphia, PA : Wolters Kluwer Health |
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dc.relation.ispartofseries |
Medicine 98 (2019), Nr. 28 |
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dc.rights |
CC BY-NC-ND 4.0 Unported |
|
dc.rights.uri |
https://creativecommons.org/licenses/by-nc-nd/4.0/ |
|
dc.subject |
adolescent |
eng |
dc.subject |
brain injury |
eng |
dc.subject |
child |
eng |
dc.subject |
cohort analysis |
eng |
dc.subject |
comparative study |
eng |
dc.subject |
diagnostic imaging |
eng |
dc.subject |
female |
eng |
dc.subject |
health care delivery |
eng |
dc.subject |
human |
eng |
dc.subject |
infant |
eng |
dc.subject |
male |
eng |
dc.subject |
neuroimaging |
eng |
dc.subject |
nuclear magnetic resonance imaging |
eng |
dc.subject |
preschool child |
eng |
dc.subject |
x-ray computed tomography |
eng |
dc.subject |
Adolescent |
eng |
dc.subject |
Brain Injuries |
eng |
dc.subject |
Child |
eng |
dc.subject |
Child, Preschool |
eng |
dc.subject |
Cohort Studies |
eng |
dc.subject |
Delivery of Health Care |
eng |
dc.subject |
Female |
eng |
dc.subject |
Humans |
eng |
dc.subject |
Infant |
eng |
dc.subject |
Magnetic Resonance Imaging |
eng |
dc.subject |
Male |
eng |
dc.subject |
Neuroimaging |
eng |
dc.subject |
Procedures and Techniques Utilization |
eng |
dc.subject |
Tomography, X-Ray Computed |
eng |
dc.subject.ddc |
610 | Medizin, Gesundheit
|
ger |
dc.title |
Frequency of neuroimaging for pediatric minor brain injury is determined by the primary treating medical department |
|
dc.type |
Article |
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dc.type |
Text |
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dc.relation.issn |
1536-5964 |
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dc.relation.doi |
https://doi.org/10.1097/MD.0000000000016320 |
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dc.bibliographicCitation.issue |
28 |
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dc.bibliographicCitation.volume |
98 |
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dc.bibliographicCitation.firstPage |
e16320 |
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dc.description.version |
publishedVersion |
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tib.accessRights |
frei zug�nglich |
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