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Scandinavian guidelines for initial management of minor and moderate head trauma in children

Overview of attention for article published in BMC Medicine, February 2016
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Mentioned by

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2 tweeters
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1 Facebook page

Citations

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36 Dimensions

Readers on

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104 Mendeley
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Title
Scandinavian guidelines for initial management of minor and moderate head trauma in children
Published in
BMC Medicine, February 2016
DOI 10.1186/s12916-016-0574-x
Pubmed ID
Authors

Ramona Astrand, Christina Rosenlund, Johan Undén

Abstract

The management of minor and moderate head trauma in children differs widely between countries. Presently, there are no existing guidelines for management of these children in Scandinavia. The purpose of this study was to produce new evidence-based guidelines for the initial management of head trauma in the paediatric population in Scandinavia. The primary aim was to detect all children in need of neurosurgical intervention. Detection of any traumatic intracranial injury on CT scan was an important secondary aim. General methodology according to the Appraisal of Guidelines for Research and Evaluation (AGREE) II and the Grading of Recommendations Assessment, Development and Evaluation (GRADE) system was used. Systematic evidence-based review was performed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) methodology and based upon relevant clinical questions with respect to patient-important outcomes. Quality ratings of the included studies were performed using Quality Assessment of Diagnostic Accuracy Studies (QUADAS)-2 and Centre of Evidence Based Medicine (CEBM)-2 tools. Based upon the results, GRADE recommendations, a guideline, discharge instructions and in-hospital observation instructions were drafted. For elements with low evidence, a modified Delphi process was used for consensus, which included relevant clinical stakeholders. The guidelines include criteria for selecting children for CT scans, in-hospital observation or early discharge, and suggestions for monitoring routines and discharge advice for children and guardians. The guidelines separate mild head trauma patients into high-, medium- and low-risk categories, favouring observation for mild, low-risk patients as an attempt to reduce CT scans in children. We present new evidence and consensus based Scandinavian Neurotrauma Committee guidelines for initial management of minor and moderate head trauma in children. These guidelines should be validated before extensive clinical use and updated within four years due to rapid development of new diagnostic tools within paediatric neurotrauma.

Twitter Demographics

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Mendeley readers

The data shown below were compiled from readership statistics for 104 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Netherlands 1 <1%
Brazil 1 <1%
Unknown 102 98%

Demographic breakdown

Readers by professional status Count As %
Student > Master 17 16%
Student > Bachelor 13 13%
Other 10 10%
Researcher 9 9%
Student > Doctoral Student 9 9%
Other 28 27%
Unknown 18 17%
Readers by discipline Count As %
Medicine and Dentistry 57 55%
Psychology 8 8%
Neuroscience 4 4%
Nursing and Health Professions 3 3%
Pharmacology, Toxicology and Pharmaceutical Science 2 2%
Other 6 6%
Unknown 24 23%

Attention Score in Context

This research output has an Altmetric Attention Score of 2. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 22 March 2021.
All research outputs
#11,995,127
of 18,908,606 outputs
Outputs from BMC Medicine
#2,518
of 2,836 outputs
Outputs of similar age
#144,799
of 273,265 outputs
Outputs of similar age from BMC Medicine
#1
of 1 outputs
Altmetric has tracked 18,908,606 research outputs across all sources so far. This one is in the 34th percentile – i.e., 34% of other outputs scored the same or lower than it.
So far Altmetric has tracked 2,836 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 39.4. This one is in the 9th percentile – i.e., 9% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 273,265 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 43rd percentile – i.e., 43% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 1 others from the same source and published within six weeks on either side of this one. This one has scored higher than all of them