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Implementation of the Pediatric Emergency Care Applied Research Network (PECARN) Traumatic Brain Injury Prediction Rules Using Computerized Clinical Decision Support: An Interrupted Time Series Trial


Phase 3
N/A
N/A
Open (Enrolling)
Both
Traumatic Brain Injury

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Trial Information

Implementation of the Pediatric Emergency Care Applied Research Network (PECARN) Traumatic Brain Injury Prediction Rules Using Computerized Clinical Decision Support: An Interrupted Time Series Trial

Inclusion Criteria


Clinicians:

Our target study population includes clinicians with training in pediatrics (particularly
pediatric emergency medicine)or general emergency medicine. As clinical practice is likely
to vary among physicians with different training and in different settings, we will
include two types of sites for this trial:

1. Pediatric emergency departments with >80% of children cared for by pediatric
emergency medicine physicians or general pediatricians.

2. General emergency departments with >80% of children cared for by general emergency
medicine physicians.

Patients:

Inclusion:

- children younger than 18 years who

- sustained minor blunt blunt head trauma defined by Glasgow Coma Scale (GCS) scores of
14 or 15 on initial ED evaluation

Exclusion:

Patients who have any of the following:

- blunt head trauma > 24 hours prior

- penetrating trauma

- brain tumors

- coagulopathy

- ventriculoperitoneal shunts

- preexisting neurological disorders complicating assessment

- neuroimaging obtained at an outside hospital before transfer to a study site

Type of Study:

Interventional

Study Design:

Allocation: Non-Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Diagnostic

Outcome Measure:

Change in proportion of cranial CT use in children with minor blunt head trauma at very low risk of clinically important traumatic brain injuries

Outcome Description:

The investigators will assess the rate of cranial CT use pre- and post implementation of computerized clinical decision support

Outcome Time Frame:

Baseline and 1 year post-intervention

Safety Issue:

No

Principal Investigator

Peter S Dayan, MD, MSc

Investigator Role:

Principal Investigator

Investigator Affiliation:

Columbia University

Authority:

United States: Institutional Review Board

Study ID:

AAAI1828

NCT ID:

NCT01453621

Start Date:

November 2011

Completion Date:

July 2013

Related Keywords:

  • Traumatic Brain Injury
  • prediction rules
  • computerized clinical decision support
  • traumatic brain injury
  • blunt head trauma
  • Brain Injuries

Name

Location

Columbia University Medical CenterNew York, New York  10032