Animated Picture to Improve Provider Adherence to CT Scan for Head Injury Rule

This study has been completed.
Information provided by (Responsible Party):
Children's Hospitals and Clinics of Minnesota Identifier:
First received: January 12, 2012
Last updated: July 30, 2013
Last verified: July 2013

It is difficult for Pediatric Emergency Department providers to recognize clinically significant head injuries that are likely to require neurosurgical intervention or close monitoring from those that can be safely discharged.

Research Question How do a combination of education and an animated picture depicting the PECARN CT Head Injury rules impact compliance to these rules and reduce unnecessary head CT scans?

Design This is a within subject, repeated measures study design.

Condition Intervention
Minor Head Injury
Behavioral: Pop-up picture

Study Type: Interventional
Study Design: Endpoint Classification: Efficacy Study
Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Diagnostic

Resource links provided by NLM:

Further study details as provided by Children's Hospitals and Clinics of Minnesota:

Primary Outcome Measures:
  • Compliance to the PECARN CT Scan Head Injury rules [ Time Frame: 3 months ] [ Designated as safety issue: Yes ]

Secondary Outcome Measures:
  • Decreased rate of CT scans [ Time Frame: 3 months ] [ Designated as safety issue: Yes ]

Estimated Enrollment: 746
Study Start Date: February 2012
Study Completion Date: July 2013
Primary Completion Date: July 2013 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Pop-up picture Behavioral: Pop-up picture
An animated picture depicting the key elements of the PECARN CT scan head injury rules will be explained. The picture will "pop-up" when a provider selects the order set for a CT scan due to head injury. Providers will need to select a box stating the patient either "meets criteria" or "does not meet criteria" in order to close the animated picture window.


Ages Eligible for Study:   up to 18 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Patients presenting to Children's ED will be included if they:
  • Are between 0 and 18 years of age (inclusive)
  • Receive a discharge diagnosis of head injury
  • Present to the ED within 24 hours of the head injury
  • GCS of 14 or greater

Exclusion Criteria:

  • Patients will be excluded if they :
  • Had a CT scans done in an outside transferring institution
  • Have obvious penetrating head injuries
  • Had a trivial injury mechanisms such as ground-level falls or walking or running into stationary objects
  • Have no signs or symptoms of head trauma other than scalp abrasions and lacerations.
  • Have known brain tumors, pre-existing neurological disorders complicating assessment, ventricular shunts, bleeding disorders
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Please refer to this study by its identifier: NCT01514071

United States, Minnesota
Children's Hospitals and Clinics of Minnesota
Minneapolis, Minnesota, United States, 55404
Children's Hospitals and Clinics of Minnesota
Twin Cities, Minnesota, United States
Sponsors and Collaborators
Children's Hospitals and Clinics of Minnesota
  More Information

Responsible Party: Children's Hospitals and Clinics of Minnesota Identifier: NCT01514071     History of Changes
Other Study ID Numbers: 1103-040 
Study First Received: January 12, 2012
Last Updated: July 30, 2013
Health Authority: United States: Institutional Review Board

Keywords provided by Children's Hospitals and Clinics of Minnesota:
head injury

Additional relevant MeSH terms:
Craniocerebral Trauma
Nervous System Diseases
Trauma, Nervous System
Wounds and Injuries processed this record on May 26, 2016