TY  - BOOK
AU  - Chan, Gerald S., MD.
AU  - Pidlaon, Rodney B., MD.
TI  - Correlation of cranial CT-scan findings with the type of acute head injury and presenting signs and symptoms among pediatric patients in FEU-NRMF hospital emergency room department from January 01 to December 31, 2010 / 
AV  - RAD 2013 0004 
PY  - 2013///
CY  - Fairview, Quezon City
PB  - Department of Radiology, FEU-NRMF
N1  - Includes appendices and bibliographical references; RESDR
N2  - Abstract:  Many studies attempted to set clinical criteria and predictors in defining intracranial injury in acute pediatric head injury to warrant cranial CT-scan.  This study would assist clinician to evaluate acute pediatric head trauma patients who really need to undergo CT scan procedure.  A retrospective case control study of 1310 pediatric trauma cases admitted in the emergency room from January 2010 - December 2010 who underwent cranial CT-scan. Type of trauma, clinical signs and symptoms and CT scan findings were analysed using Chi-square test (p-value <0.05=statistically significant).  Among these cases, 318 (24%) presented with head trauma. Fall (50%) represented the most frequent type of head injury with signs and symptoms of nausea/vomiting (11.3%) and headache (11.3%). Pediatric head trauma with significant CT scan findings was 44 (13%) with the most common  findings of fracture with soft tissue findings (47.7%) followed by an intracranial haemorrhage  (ICH) (13.6%) with or without soft tissue findings with fracture. There was 30 (68.18%) presented with no gross physical findings but with considerable CT-Scan findings (ICH, soft tissue swelling and fracture), however, 11.36% (5) of cases with gross physical findings (skull depression/penetrating head injury) regardless of signs and symptoms, convincingly present intracranial haemorrhage on CT-scan.  Statistics revealed that cranial CT scan findings were not significantly related to the type of trauma (p-Value = 0.154763), along with the clinical signs and symptoms were also not significantly related to the type of trauma (p-value = 1).  Neither the clinical signs and symptoms nor the type of injury would predict significant findings in CT scan. However, cases with gross physical findings regardless of signs and symptoms, will greatly reveal significant findings on CT scan. Overall, The type of trauma clinical signs and symptoms, or gross physical findings, CT scan remained the best tool to describe the structural abnormality
ER  -