Repeat CT common in peds traumatic epidural hematoma

Repeat CT common in peds traumatic epidural hematoma

(HealthDay)—For children with traumatic epidural hematomas (EDHs), repeated computed tomography (CT) imaging is common, but rarely impacts management, according to a study published in the September issue of Pediatrics.

Brian F. Flaherty, M.D., from the University of Utah in Salt Lake City, and colleagues conducted a involving 184 subjects aged 0 to 18 years who had a traumatic EDH and were treated at a level I from 2003 to 2014. Radiographic and clinical findings, the frequency and timing of reimaging, and changes in neurologic status were compared between patients whose management changed because of a meaningful CT scan and those whose management did not change.

The researchers found that 10 percent of the subjects analyzed had a meaningful CT. There was no difference in the frequency of CT between the meaningful CT and no meaningful CT groups (median, 1 in each). Management was changed in only 7 percent of repeated CTs. Correlations were seen for neurologic status immediately before the repeat scan and mass effect on the initial CT with a meaningful CT (odds ratios, 45 and 4, respectively). Reimaging only those with concerning pre-CT neurologic findings or mass effect on initial CT would have reduced imaging by 54 percent.

"Reimaging is common, but rarely changes management," the authors write. "Limiting reimaging to patients with concerning neurologic findings or mass effect on initial evaluation could reduce imaging by >50 percent."


Explore further

CT effective in detection of significant cervical spine injury

More information: Abstract/Full Text (subscription or payment may be required)
Journal information: Pediatrics

Copyright © 2018 HealthDay. All rights reserved.

Citation: Repeat CT common in peds traumatic epidural hematoma (2018, September 21) retrieved 18 July 2019 from https://medicalxpress.com/news/2018-09-ct-common-peds-traumatic-epidural.html
This document is subject to copyright. Apart from any fair dealing for the purpose of private study or research, no part may be reproduced without the written permission. The content is provided for information purposes only.
1 shares

Feedback to editors

User comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more