Association of clinically important traumatic brain injury and Glasgow Coma Scale scores in children with head injury
- Kochar A.
- Borland M. L.
- Phillips N.
- Dalton S.
- Cheek J. A.
- Furyk J.
- Neutze J.
- Lyttle M. D.
- Hearps S.
- Dalziel S.
- Bressan S.
- Oakley E.
- Babl F. E.
DOIAbstract
Objective: Head injury (HI) is a common presentation to emergency departments (EDs). The risk of clinically important traumatic brain injury (ciTBI) is low. We describe the relationship between Glasgow Coma Scale (GCS) scores at presentation and risk of ciTBI. Methods: Planned secondary analysis of a prospective observational study of children<18 years who presented with HIs of any severity at 10 Australian/New Zealand centres. We reviewed all cases of ciTBI, with ORs (Odds Ratio) and their 95% CIs (Confidence Interval) calculated for risk of ciTBI based on GCS score. We used receiver operating characteristic (ROC) curves to determine the ability of total GCS score to discriminate ciTBI, mortality and need for neurosurgery. Results: Of 20 1...
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