Shared Decision Making in Parents of Children With Head Trauma: Head CT Choice

Completed · Not applicable

Conditions studied: Head Injury

In brief

The investigators will test the impact of a decision aid, Head CT Choice, to determine if its use improves parents' knowledge and engagement in decision making and safely decreases healthcare utilization in children presenting to the emergency department with blunt head trauma.

Key facts

Study ID

NCT02063087

Run by

Mayo Clinic

People needed

971

Starts

2014-04-01

Expected to finish

2017-01-01

Last updated by the study team

2019-05-09

Who can join

Age: any, up to 18. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• Parents and their child, seeking care for a child who:
• Is < 18 years of age;
• Had blunt trauma above the eyebrows (not isolated to face or eyes);
• Is positive for at least 1 of the PECARN clinical prediction rule predictors described below:
• PECARN Predictors for children < 2 years of age:
• Severe mechanism (PECARN definition)* Loss of consciousness > 5 seconds Acting abnormally per parent Initial ED GCS < 15 by attending (or CT decision-maker) Other signs of altered mental status (PECARN definition) Presence of occipital, temporal or parietal scalp hematoma Palpable skull fracture or unclear if skull fracture
• PECARN predictors for children 2-18 years of age:
• Severe mechanism (PECARN definition)* Any loss of consciousness Any vomiting since the injury Severe headache in ED Initial ED GCS < 15 by attending (or CT decision-maker) Other signs of altered mental status (PECARN definition)** Any sign of basilar skull fracture Clinicians include attending physicians and fellows or midlevel providers caring for children with head trauma

You may not qualify if…

• Parents of children with:
• GCS scores < 15
• Evidence of penetrating trauma, signs of basilar skull fracture, or depressed skull fracture on physical examination
• Brain tumors
• Ventricular shunts
• Bleeding disorder
• Pre-existing neurological disorders complicating assessment
• Neuroimaging at an outside hospital before transfer
• Signs of altered mental status (agitation, somnolence, repetitive questioning, or slow response to verbal communication)
• Syncope or seizure disorder preceded (led to) head trauma or seizure post head trauma
• Known to be pregnant
• Communication barriers such as visual or hearing impairment that may preclude use of the decision aid.
• Strong suspicion of abuse for this head injury

Where it is running

• University of California, Davis Medical Center — Sacramento, California, United States
• Boston Children's Hospital — Boston, Massachusetts, United States
• Children's Hospitals and Clinics of MN, Minneapolis — Minneapolis, Minnesota, United States
• University of Minnesota Masonic Children's Hospital — Minneapolis, Minnesota, United States
• Mayo Clinic — Rochester, Minnesota, United States
• Children's Hospitals and Clincis of MN, St Paul ED — Saint Paul, Minnesota, United States
• Nationwide Children's Hospital — Columbus, Ohio, United States

Full record on ClinicalTrials.gov

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