Pediatric_NEXUS_II_Head_CT_Decision_guideline v.1
Pediatric NEXUS II Head CT Decision Instrument for Blunt Trauma predicts need for head CT after pediatric blunt head injury.
To assist clinicians to predict the need for head CT after pediatric blunt head injury.
Use in patients <18 years old who have sustained blunt head trauma within the past 24 hours and in whom head CT is being considered. Formula: Addition of selected points. Criteria and assigned points: - Evidence of skull fracture: No=0, Yes=1 - Scalp hematoma: No=0, Yes=1 - Neurologic deficit: No=0, Yes=1 - Abnormal level of alertness: No=0, Yes=1 - Abnormal behavior: No=0, Yes=1 - Persistent vomiting: No=0, Yes=1 - Coagulopathy: No=0, Yes=1 Interpretation: score 0= Low Risk of significant intracranial injuries= Recommendation: CT not necessary (100% sensitive for findings requiring neurosurgical intervention) score>0= High Risk of significant intracranial injuries= Recommendation: Consider CT
1. Mower WR, Hoffman JR, Herbert M, Wolfson AB, Pollack CV Jr, Zucker MI; NEXUS II Investigators. Developing a decision instrument to guide computed tomographic imaging of blunt head injury patients. J Trauma. 2005 Oct;59(4):954-9. doi: 10.1097/01.ta.0000187813.79047.42. PMID: 16374287. 2. Oman JA, Cooper RJ, Holmes JF, Viccellio P, Nyce A, Ross SE, Hoffman JR, Mower WR; NEXUS II Investigators. Performance of a decision rule to predict need for computed tomography among children with blunt head trauma. Pediatrics. 2006 Feb;117(2):e238-46. doi: 10.1542/peds.2005-1063. Epub 2006 Jan 17. PMID: 16418311. 3. Gupta M, Mower WR, Rodriguez RM, Hendey GW. Validation of the Pediatric NEXUS II Head Computed Tomography Decision Instrument for Selective Imaging of Pediatric Patients with Blunt Head Trauma. Acad Emerg Med. 2018 Jul;25(7):729-737. doi: 10.1111/acem.13431. Epub 2018 Jun 8. PMID: 29665151.
OBSERVATION.pediatric_nexus_ii_head_ct_decision.v0, EVALUATION.pediatric_nexus_ii_head_ct_decision_assessment.v0
