The CDR Implementation Trial

Completed · Not applicable

Conditions studied: Pediatric Abusive Head Trauma

In brief

To increase the accuracy of doctors' decisions to launch or forgo child abuse evaluations in their young, acutely head-injured patients, investigators have derived and validated a clinical decision rule (CDR) that detects abusive head trauma (AHT) with 96% sensitivity in pediatric intensive care unit (PICU) settings. This "CDR Implementation Trial" across eight PICU sites will assess the CDR's actual impact on AHT screening accuracy, identify factors associated with maximal physician acceptance and application of this novel AHT screening tool, and assess the sustainability of active CDR implementation strategies.

Key facts

Study ID

NCT03162354

Run by

Milton S. Hershey Medical Center

People needed

420

Starts

2017-08-01

Expected to finish

2020-03-31

Last updated by the study team

2020-12-16

Who can join

Age: any, up to 3. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• Children under 3 years of age admitted to a PICU for management of symptomatic, acute, closed, traumatic, cranial, or intracranial injuries confirmed by computed tomography (CT) or magnetic resonance imaging (MRI).

You may not qualify if…

• Patients admitted to a PICU with acute head injuries resulting from a collision involving a motor vehicle.
• Patients admitted to a PICU with acute head injuries and clear evidence on neuroimaging of pre-existing brain malformation, disease, infection, or hypoxia-ischemia.

Where it is running

• Connecticut Children's Medical Center — Hartford, Connecticut, United States
• Wesley Hospital — Wichita, Kansas, United States
• Children's Mercy Hospital — Kansas City, Missouri, United States
• University of Nebraska Medical Cneter and Children's Hospital of Omaha — Omaha, Nebraska, United States
• Texas Children's Hospital, Baylor College of Medicine — Houston, Texas, United States
• University of Texas health Sciences Center at San Antonio — San Antonio, Texas, United States
• Primary Children's Hospital — Salt Lake City, Utah, United States
• Children's Hospital of Richmond, Virginia Commonwealth University — Richmond, Virginia, United States

Full record on ClinicalTrials.gov

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