 |
|
Intracranial Hemorrhage in Children Younger Than 3 Years
Prediction of Intent
Robert G. Wells, MD;
Christine Vetter, MD;
Prakash Laud, PhD
Arch Pediatr Adolesc Med. 2002;156:252-257.
Objective To determine whether certain computed tomographic imaging patterns in
infants and young children with intracranial hemorrhage help predict intentional
compared with unintentional injuries.
Design Retrospective consecutive case series over a 10-year period.
Patients Two hundred ninety-three children younger than 3 years with intracranial
hemorrhage.
Main Outcome Measures The sensitivity and specificity of computed tomographic imaging patterns
for intentional head injury.
Setting Regional pediatric medical center.
Results Four variables used in the multiple logistic regression analysis for
predicting intentional head injury were statistically significant (P<.05): subdural hematoma located over the cerebral convexities,
hematoma within the interhemispheric subdural space, hygroma (nonhemic subdural
fluid) with intracranial hemorrhage, and absence of a skull fracture with
intracranial hemorrhage. The prediction model for the diagnosis of intentional
head trauma using combinations of these 4 variables and a .45 probability
cutoff point indicated a sensitivity of 84% (95% confidence interval, 78%-90%)
and a specificity of 83% (95% confidence interval, 74%-89%).
Conclusion Computed tomographic imaging patterns of intracranial hemorrhage in
children younger than 3 years help predict whether the injury was intentional.
From the Radiology Department, Children's Hospital of Wisconsin, Milwaukee
(Dr Wells); and the Division of Biostatistics, Medical College of Wisconsin,
Milwaukee (Dr Laud). Dr Vetter is in private practice in Singapore.
THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
Traumatic Low Attenuation Subdural Fluid Collections in Children Younger Than 3 Years
Wells and Sty
Arch Pediatr Adolesc Med 2003;157:1005-1010.
ABSTRACT
| FULL TEXT
|
