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Cohort study
Children with minor blunt head trauma, a Glasgow Coma Scale score of 14 or 15 and a normal CT scan are at very low risk of traumatic findings on subsequent neuroimaging or of requiring neurosurgical intervention
  1. Heidi K Blume
  1. Division Pediatric Neurology, Seattle Children's Hospital and Seattle Children's Research Institute, Seattle, Washington, USA
  1. Correspondence to Heidi K Blume
    Division Pediatric Neurology, Seattle Children's Hospital and Seattle Children's Research Institute, 4800 Sandpoint Way, MS: B-5552, Seattle, Washington, USA; heidi.blume{at}seattlechildrens.org

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Context

Mild traumatic brain injuries (TBIs) are common in children and the vast majority of children with mild TBI have normal head CT scans. However, even when the initial scan is normal, some patients are reimaged and/or hospitalised for observation. There is little data regarding the value or harm of a second scan or hospitalisation and one would like to avoid the radiation and costs of these interventions if they are not beneficial. The study by Holmes et al is a secondary analysis of a large study of mild paediatric TBI designed to identify children who do not need a head CT.1 The objective of the current study was to identify the frequency of neurologic …

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