Efficacy of the implementation of the National Emergency X-Radiography Utilization Study II decision rule to clinical practice for paediatric head injury patients

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dc.contributor.author Hautala, Maria
dc.contributor.author Koskela, Ulla
dc.contributor.author Pokka, Tytti
dc.contributor.author Rantala, Heikki
dc.contributor.author Uhari, Matti
dc.contributor.author Serlo, Willy
dc.contributor.author Mikkonen, Kirsi
dc.date.accessioned 2022-02-16T12:45:01Z
dc.date.available 2022-02-16T12:45:01Z
dc.date.issued 2021-07
dc.identifier.citation Hautala , M , Koskela , U , Pokka , T , Rantala , H , Uhari , M , Serlo , W & Mikkonen , K 2021 , ' Efficacy of the implementation of the National Emergency X-Radiography Utilization Study II decision rule to clinical practice for paediatric head injury patients ' , Acta Paediatrica , vol. 110 , no. 7 , pp. 2200-2205 . https://doi.org/10.1111/apa.15859
dc.identifier.other PURE: 165176750
dc.identifier.other PURE UUID: f4ef63ca-334e-4339-9f67-6eb756b6c708
dc.identifier.other WOS: 000646720600001
dc.identifier.uri http://hdl.handle.net/10138/340430
dc.description.abstract Aim To investigate the usefulness of the National Emergency X-Radiography Utilization Study (NEXUS) II head trauma decision rule in clinical practice for paediatric patients in a tertiary university hospital serving as the only paediatric hospital in the area. Methods We compared how doctors evaluated and examined patients with head injury during two time periods, before and after the introduction of NEXUS II decision rule. Multiple implementation strategies were used as follows: education, tutoring and written instructions for the use of NEXUS II. Results Two hundred and forty-four head injury patients visited the hospital before and 385 after the introduction of the NEXUS II decision rule. The number of hospital admissions (56%) and the mean duration of hospitalisation (2.5 days) remained the same during the two periods. In the NEXUS II evaluated group, there was a decrease of 40% in the number of hospital admissions. NEXUS II was applied in only 62 (16%) cases. The number of head imaging procedures remained the same. No patients with a clinically significant head injury were missed with the NEXUS II evaluation. Conclusion NEXUS II was ineffective as our implementation failed. When used, NEXUS II reduced expenses in our study population by decreasing the number of hospital admissions. en
dc.format.extent 6
dc.language.iso eng
dc.relation.ispartof Acta Paediatrica
dc.rights cc_by_nc_nd
dc.rights.uri info:eu-repo/semantics/openAccess
dc.subject brain injury
dc.subject clinical decision rule
dc.subject head trauma
dc.subject implementation
dc.subject National Emergency X&#8208
dc.subject Radiography Utilization Study II
dc.subject 3123 Gynaecology and paediatrics
dc.title Efficacy of the implementation of the National Emergency X-Radiography Utilization Study II decision rule to clinical practice for paediatric head injury patients en
dc.type Article
dc.contributor.organization Lastenneurologian yksikkö
dc.contributor.organization Children's Hospital
dc.contributor.organization HUS Children and Adolescents
dc.contributor.organization Helsinki University Hospital Area
dc.contributor.organization University of Helsinki
dc.description.reviewstatus Peer reviewed
dc.relation.doi https://doi.org/10.1111/apa.15859
dc.relation.issn 0803-5253
dc.rights.accesslevel openAccess
dc.type.version publishedVersion

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