Comparison of CATCH, PECARN and CHALICE rules in children with minor head trauma.
Purpose: The aim of this study is to prospectively compare the diagnostic performance of the PECARN, CATCH, and CHALICE clinical decision rules in pediatric patients presenting with minor head trauma, within a rural secondary-level emergency department characterized by limited resources, high patien...
| Publicado en: | European Journal of Trauma & Emergency Surgery Vol. 52; no. 1; pp. 1 - 8 |
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| Autores principales: | , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
4/15/2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=193005402&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 193005402 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 18639933 3C05 jtl: European Journal of Trauma & Emergency Surgery issn: 18639933 maglogo: N pubinfo: dt: 4/15/2026 vid: 52 iid: 1 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 193005402 193005402 193005402 10.1007/s00068-026-03186-5 193005402 ppf: 1 ppct: 7 formats: tig: atl: Comparison of CATCH, PECARN and CHALICE rules in children with minor head trauma. aug: au: Ferhatlar, Mehmet Esat Cumhur, Bilgehan Ahmet Koca, Yavuzselim Bozan, Oner Kalkan, Asim affil: https://ror.org/03k7bde87 Department of Emergency Medicine, Prof. Dr. Cemil Tascioglu City Hospital, University of Health Sciences, 34100, Istanbul, Türkiye sug: subj: Severity of Injury Head Injuries Diagnosis Head Injuries Diagnosis Clinical Prediction Rules Evaluation Sensitivity and Specificity Evaluation Hospitals, Rural Emergency Service Resource-Limited Settings Workload Health Services Accessibility Secondary Health Care Hospitals, Special Human Male Female Glasgow Coma Scale Scales Prospective Studies Nonexperimental Studies Hospitals, Public Turkiye Comparative Studies Tomography, X-Ray Computed Utilization Brain Radiography Brain Pathology False Positive Results Unnecessary Procedures Diagnostic Errors Pearson's Correlation Coefficient Univariate Statistics Logistic Regression Multiple Logistic Regression Intracranial Hemorrhage Radiography Hematoma, Subdural Radiography Subarachnoid Hemorrhage Radiography Brain Contusions Radiography Skull Fractures Radiography Odds Ratio Confidence Intervals Descriptive Statistics Association (Research) Emergency Patients Infant, Newborn Infant Child, Preschool Child Adolescence Data Analysis Software Infant, Newborn: birth-1 month Infant: 1-23 months Child, Preschool: 2-5 years Child: 6-12 years Adolescent: 13-18 years Male Female ab: Purpose: The aim of this study is to prospectively compare the diagnostic performance of the PECARN, CATCH, and CHALICE clinical decision rules in pediatric patients presenting with minor head trauma, within a rural secondary-level emergency department characterized by limited resources, high patient volume, and restricted access to specialist physicians. Methods: The study was designed as a prospective observational study. The PECARN, CATCH, and CHALICE clinical decision rules were applied to the patients included in the study, and the data were recorded. The data included in the study were statistically analyzed using the SPSS (Statistical Package for Social Sciences; SPSS Inc., Chicago, IL) 27 program. A value of p < 0.05 was considered statistically significant. Results: A total of 1,032 patients were included in the study. The PECARN did not miss any of the 15 patients with pathological brain CT and had 100% sensitivity and 52.1% specificity. CATCH failed to detect pathological brain CT in 1 patient and had 93.3% sensitivity and 53.3% specificity. CHALICE failed to detect pathological brain CT in 2 patients, with 86.7% sensitivity and 87.8% specificity. Overall, PECARN was more successful in detecting pathological brain CT, but it also had a high false-positive brain CT rate. Conclusion: PECARN criteria are more sensitive than other criteria in predicting brain CT pathology, but they lead to a large number of brain CT scans. While the CHALICE criteria are beneficial in reducing unnecessary brain CT scans, they may miss positive cases. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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