Explore the critical intersection of ethics and cutting-edge neurosurgery through our latest blog post, “Validation of the Scandinavian guidelines for minor and moderate head trauma in children,” and discover the profound implications of these guidelines on pediatric care.
– by James
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Validation of the Scandinavian guidelines for minor and moderate head trauma in children: protocol for a pragmatic, prospective, observational, multicentre cohort study.
Wickbom et al., BMJ Open 2024
<!– DOI: 10.1136/bmjopen-2023-078622 //–>
https://doi.org/10.1136/bmjopen-2023-078622
This study aims to validate the Scandinavian Neurotrauma Committee guideline 2016 (SNC16) for managing minor and moderate head trauma in children within the healthcare systems of Sweden and Norway. The SNC16, designed to help identify children at risk of clinically important intracranial injuries (CIII) after blunt head trauma, has shown promise in external validations but now faces scrutiny in its intended setting. This prospective, observational cohort study will enroll children aged 0-17 years who present with a Glasgow Coma Scale of 9-15 within 24 hours of injury at any of the 16 participating hospitals. The study’s primary goal is to assess the SNC16’s diagnostic accuracy in predicting CIII, with secondary outcomes including traumatic CT findings, the necessity of neurosurgery, and the 3-month outcome post-injury. Diagnostic measures such as sensitivity, specificity, and predictive values will be evaluated. Ethical approval has been granted in both Sweden and Norway, with results to be disseminated through scientific publications and potentially followed by guideline implementation efforts. Registration number: NCT05964764.