title: [Compliance with the PECARN and AEP guidelines in diagnostic approach of mild head trauma in patients younger than 24 months old].
abstract: BACKGROUND
  Mild head trauma is a frequent complaint in Pediatric Emergency Departments. Several guidelines have been published in the last few years. However, significant variability can be appreciated in terms of the demand for image tests. The aim of this study is to determine the level of compliance with PECARN and AEP guidelines in the management of patients younger than 24 months old in four different hospitals.
  
  
  METHODS
  A multicenter retrospective study was conducted on patients presenting with mild head trauma between October 1st, 2011 and March 31st, 2013 in the Emergency Departments of four hospitals.
  
  
  RESULTS
  In the analysis of the results obtained, only one of the four hospitals complied with the AEP guidelines in more than 50% of the patients. The other three hospitals had a level of compliance lower than 50%. Management was more suitable according to PECARN guidelines, with 3 of the 4 hospitals having a level of compliance greater than 50%. However, the best compliance achieved by a hospital was only of 70%.
  
  
  CONCLUSIONS
  The study shows that the level of compliance with guidelines for management of mild head trauma in patients younger than 24 months old is low.
authors.affiliation: Unidad de Urgencias Pediátricas, Servicio de Pediatría, Hospital Universitario Río Hortega, Valladolid, España. Electronic address: robertovelascozuniga@gmail.com.
authors.forename: R
authors.initials: R
authors.lastname: Velasco
authors.affiliation: Unidad de Urgencias Pediátricas, Servicio de Pediatría, Hospital Universitario Río Hortega, Valladolid, España.
authors.forename: M
authors.initials: M
authors.lastname: Arribas
authors.affiliation: Unidad de Urgencias Pediátricas, Servicio de Pediatría, Hospital Universitario Río Hortega, Valladolid, España.
authors.forename: C
authors.initials: C
authors.lastname: Valencia
authors.affiliation: Unidad de Urgencias Pediátricas, Servicio de Pediatría, Hospital Universitario Río Hortega, Valladolid, España.
authors.forename: N
authors.initials: N
authors.lastname: Zamora
authors.affiliation: Servicio de Urgencias Pediátricas, Hospital Universitario Cruces, Barakaldo, Bizkaia, España.
authors.forename: S M
authors.initials: SM
authors.lastname: Fernández
authors.affiliation: Servicio de Urgencias Pediátricas, Hospital Universitario Cruces, Barakaldo, Bizkaia, España.
authors.forename: A
authors.initials: A
authors.lastname: Lobeiras
authors.affiliation: Servicio de Pediatría, Hospital Clínico Universitario, Valladolid, España.
authors.forename: E
authors.initials: E
authors.lastname: Urbaneja
authors.affiliation: Servicio de Pediatría, Hospital Clínico Universitario, Valladolid, España.
authors.forename: R
authors.initials: R
authors.lastname: Garrote
authors.affiliation: Servicio de Pediatría, Hospital Nuestra Señora de Sonsoles, Ávila, España.
authors.forename: L
authors.initials: L
authors.lastname: González
authors.affiliation: Servicio de Pediatría, Hospital Nuestra Señora de Sonsoles, Ávila, España.
authors.forename: H
authors.initials: H
authors.lastname: Benito
mesh_terms: D006259:Craniocerebral Trauma / Q000175:diagnosis* / Q000000981:diagnostic imaging; D004636:Emergency Service, Hospital; D005260:Female; D019983:Guideline Adherence / Q000706:statistics & numerical data*; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D010372:Pediatrics; D012189:Retrospective Studies; D012955:Societies, Medical
keywords: Emergency care; Head trauma; Radiografía; Radiography; Tomografía computarizada; Tomography; Traumatismo craneoencefálico; Urgencias