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Patient‐oriented evidence that matters

Children with normal CT results after blunt head trauma can be sent home Clinical question Do children with blunt head trauma and normal CT results require hospitalization? Bottom line Among 13,543 children with minor head trauma, a negative computed tomography (CT) result ruled out damage requiring neurosurgical intervention in 100% of patients (negative predictive value = 100%; 95% confidence interval [CI], 99.97%100%). Children with negative CT findings can be sent home. (LOE = 1b) Synopsis This study, conducted via a network of emergency departments, assessed the outcomes of 13,543 children with minor blunt head trauma and normal cranial CT scan results. All children had a Glasgow Coma Scale score of 14 or 15, and 18% were hospitalized. Of the 11,058 patients discharged home from the emergency department, 79% were contacted by mail or telephone; a review of medical records was performed for the remaining patients. Among the discharged patients, 2% had a follow-up CT scan or MRI, and 0.05% of the total had abnormalities. No children received a neurosurgical intervention. In the hospitalized patients, 6% had follow-up imaging, 0.6% had abnormalities, and none received a surgical intervention.