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Emergency Medicine International
Volume 2014 (2014), Article ID 248967, 4 pages
http://dx.doi.org/10.1155/2014/248967
Research Article

Indications of Brain Computed Tomography Scan in Children Younger Than 3 Years of Age with Minor Head Trauma

1Yüzüncü Yıl University, School of Medicine, Department of Neurosurgery, Van, Turkey
2Bozok University, School of Medicine, Department of Neurosurgery, Yozgat, Turkey
3Yüzüncü Yıl University, School of Medicine, Department of Emergency Medicine, Van, Turkey
4Van Regional Training and Teaching Hospital, Clinic of Neurosurgery, Van, Turkey
5Yüzüncü Yıl University, School of Medicine, Department of Radiology, Van, Turkey
6Adnan Menderes University, School of Medicine, Department of Neurosurgery, Aydın, Turkey

Received 8 December 2013; Accepted 27 January 2014; Published 2 March 2014

Academic Editor: Christian Wrede

Copyright © 2014 İsmail Gülşen et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Objective. To investigate the indications to receive brain computed tomography (CT) scan and to define the pathological findings in children younger than three years of age with minor head trauma in emergency departments. Methods. In this study, hospital case notes of 1350 children attending the emergency department of Bitlis State Hospital between January 2011 and June 2013 were retrospectively reviewed. 508 children under 3 years of age with minor head trauma were included in this study. We also asked 37 physicians about the indications for requiring CT in these children. Results. This study included 508 children, 233 (45,9%) of whom were female and 275 were male. In 476 (93,7%) children, the brain CT was completely normal. 89,2% of physicians asked in the emergency department during that time interval reported that they requested CT scan to protect themselves against malpractice litigation. Conclusion. In infants and children with minor head trauma, most CT scans were unnecessary and the fear of malpractice litigation of physicians was the most common reason for requesting a CT.