The Australasian Paediatric Head Injury Rules Study: Assessing the gap prior to implementation (APHIRST Gap). A mixed methods study examining the use of CT scanning of the brain in the management of children admitted to the Emergency Department with a head injury.

Completed

• Conditions: Head Injury; Injuries and Accidents - Other injuries and accidents

• Registration Number: ACTRN12617001591347
• Lead Sponsor: Professor Franz Babl

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2017-12-01
• Study Completion: 2018-12-11
• Last Update Posted: 14 January 2019

Recruitment & Eligibility

• Status: Completed
• Sex: All
• Target Recruitment: 3172

Inclusion Criteria

Quantitative study:
- Any child aged from birth to their 16th birthday
- Presented to the Emergency Department in 2016
- Diagnosis of Head Injury

Qualitative study:
- Doctor (including trainees) or Registered Nurse
- Working in a clinical role (part-time or full-time)
- Working in an Australian or New Zealand Emergency Department

Exclusion Criteria

Quantitative study:
- Patients presenting to the ED more than 24 hours after a blunt head trauma
- Patients who have had neuroimaging performed at another hospital prior to presenting
- Patients re-presenting within 24 hours of a CTB at the ED with isolated dental injury as a primary diagnosis

Qualitative study:
- Students and interns
- Clinicians not engaged in clinical practice
- Agency or bank staff (nurses) or locums (medical)

Study & Design

• Study Type: Observational
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
The primary outcome of the medical record audit is whether CTB was performed during the ED visit, as extracted from the documented radiology procedures performed during the patient visit.[The primary timepoint is the time of discharge from either the ED or hospital ward, if the patient was admitted.];The primary outcome of the qualitative interviews is the identification of factors at the level of the clinician and organisation, which influence the use of CTB in children who present to the ED with mild head injuries. [Interview transcription and thematic analysis.]