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CompletedNCT01514071Updated Jul 31, 2013

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

An interventional study of Pop-up picture in Minor Head Injury, sponsored by Children's Hospitals and Clinics of Minnesota. Completed at 2 sites in United States. Open to participants aged Up to 18 Years. Per ClinicalTrials.gov, last updated 2013-07-31.

Sponsored by Children's Hospitals and Clinics of Minnesota · Not applicable, Interventional, and Diagnostic

Phase
Not applicable
Study type
Interventional
Enrollment
746
Allocation
Not applicable
Ages
Up to 18 Years
Sex
All
01

Study summary

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.

02

Conditions studied

  • Minor Head Injury

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Keywords

  • head injury
  • CT
  • emergency
  • radiation
03

In context

Craniocerebral Trauma

253 studies on the registry are indexed under Craniocerebral Trauma; 45 are open to participants now.

This study's planned enrollment of 746 is above the median of 60 across 137 interventional studies indexed under Craniocerebral Trauma.

Browse Craniocerebral Trauma studies →

Lead sponsor

Children's Hospitals and Clinics of Minnesota is the lead sponsor of 49 studies on the registry; 4 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
Up to 18 Years
Sexes eligible
All
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

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
05

Study design

Phase
Not applicable
Primary purpose
Diagnostic
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
746 participants (estimated)

Study arms

  • Experimental
    Pop-up picture

    Behavioral: Pop-up picture

Interventions

  • BehavioralPop-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.

06

What researchers measure

Primary outcomes

  1. Compliance to the PECARN CT Scan Head Injury rules

    Time frame: 3 months

Secondary outcomes

  1. Decreased rate of CT scans

    Time frame: 3 months

07

Study locations

2 sites
  • Children's Hospitals and Clinics of Minnesota
    Minneapolis, Minnesota 55404, United States
  • Children's Hospitals and Clinics of Minnesota
    Twin Cities, Minnesota, United States
08

References and documents

Publications

  • Kuppermann N, Holmes JF, Dayan PS, Hoyle JD Jr, Atabaki SM, Holubkov R, Nadel FM, Monroe D, Stanley RM, Borgialli DA, Badawy MK, Schunk JE, Quayle KS, Mahajan P, Lichenstein R, Lillis KA, Tunik MG, Jacobs ES, Callahan JM, Gorelick MH, Glass TF, Lee LK, Bachman MC, Cooper A, Powell EC, Gerardi MJ, Melville KA, Muizelaar JP, Wisner DH, Zuspan SJ, Dean JM, Wootton-Gorges SL; Pediatric Emergency Care Applied Research Network (PECARN). Identification of children at very low risk of clinically-important brain injuries after head trauma: a prospective cohort study. Lancet. 2009 Oct 3;374(9696):1160-70. doi: 10.1016/S0140-6736(09)61558-0. Epub 2009 Sep 14. Erratum In: Lancet. 2014 Jan 25;383(9914):308. PubMed 19758692 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 31, 2013, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT01514071
Lead sponsor
Children's Hospitals and Clinics of Minnesota
Responsible party
Sponsor
First posted
Jan 20, 2012
Start date
Feb 2012
Primary completion
Jul 2013
Completion
Jul 2013
Last update
Jul 31, 2013
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jul 2013. You cannot join it, but the record below documents what was studied.

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