OBJECTIVES: The aims of the study were to describe @entity341 ( @entity341 ) management of young @entity1 with @entity542 and to assess parental comfort level and perceptions of @entity341 care. METHODS: This was a prospective observational study of @entity1 younger than 5 years who presented to a pediatric @entity341 after @entity542 . @entity1 were eligible if clinical observation was an appropriate @entity341 management option per the Pediatric Emergency Care Academic Research Network's neuroimaging clinical decision rule. Demographics, injury variables, and @entity341 clinician surveys explaining the care provided were collected at time of study enrollment. Parents were subsequently contacted to assess understanding of @entity341 management and comfort with care. RESULTS: One hundred four @entity1 were enrolled with a mean (standard deviation) age of 1.19 (1.34) years. Thirty (29%) had emergent neuroimaging and 59 (57%) were placed into a period of observation per clinician report. A total of 37 @entity1 received a head computed tomography, of which 21 (57%) were normal. Eighty-four parents (81%) completed the phone follow-up. Of these @entity1 , there was a significant difference between whether parents and clinicians reported that the @entity1 had been clinically observed in the @entity341 (P < 0.0001). Parents of @entity1 who did not receive a head CT were more likely to be uncomfortable with the decision to obtain neuroimaging compared with those who did receive a head CT (P = 0.003). CONCLUSIONS: Parents are not always comfortable with the medical care practices provided and are often unaware of clinical observation when it does occur. Better parent-clinician communication could improve parental understanding and reduce overall discomfort.

Emergency Department Care of Young XXXX at Risk for Traumatic Brain Injury: What Are We Doing and Do Parents Understand?

@entity1 :: ('9606', 'Species') :: ['children', 'Children', 'child'] @entity341 :: ('MESH:D004630', 'Disease') :: ['emergency department', 'ED'] @entity542 :: ('MESH:D006259', 'Disease') :: ['head injury']
@entity1 :: (9606,Species) :: ['Children']
