How does the CHALICE rule affect CT scanning in children with head injuries?
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Publication of the CHALICE (children's head injury algorithm for the prediction of important clinical events) rule for paediatric head injuries1 and its adoption by the National Institute for Health and Clinical Excellence (NICE)2 may have significant implications for patient management. The effects of these have been explored in a recently published Australian audit aimed at externally validating this rule.3 This study showed that implementation of CHALICE would result in a significant increase in the use of CT scanning in suspected head injury cases and …
[1] F. Bellis,et al. CHALICE head injury rule: an implementation study , 2010, Emergency Medicine Journal.
[2] F. Babl,et al. Application of the CHALICE clinical prediction rule for intracranial injury in children outside the UK: impact on head CT rate , 2010, Archives of Disease in Childhood.
[3] J. Dunning,et al. Derivation of the children’s head injury algorithm for the prediction of important clinical events decision rule for head injury in children , 2006, Archives of Disease in Childhood.