Özet:

Head trauma is the cause of the most common reasons for pediatric emergency admissions. The decision for computerized tomography evaluation after minor head trauma is a challenge for children in nonverbal age.  This study aims to draw attention to unnecessary cranial computerized tomography scanning in children under two years of age. Methods: The records of 183 head trauma cases between the ages of 0-24 months and between January 2011 and December 2015 were reviewed retrospectively. Results: Of the 183 patients included in the study, 93 were male (50.8%), 90 were female (49.2%), and the average age of the patients was 13.08 ± 6.30 months (the youngest 1 months-of-age, the oldest 24 months-of-age). The distribution of the causes of the head trauma was as followed 139 (76%) accidental, 24 (13.1%) non-vehicle traffic accidents and 20 (10.9%) traffic accidents occurred. Cranial computerized tomography was performed in 80% of the cases. Moreover, was not in 12% of the cases. Patients with cranial computerized tomography had 7% (3.8%) of the frontal bone, 1 (0.5%) temporal bone, 5 (2.7%) occipital bone, and 5 (2.7%) parietal a bone fracture was detected. The duration of hospitalization was 0.54 ± 2.90 (min 0, max 27) days. None of the cases required an operation. Conclusion: In children under two years of age, the height of computerized tomography withdrawal in head trauma was remarkable. This study emphasizes the need to put the right indications for computerized tomography prompting, especially those with mild head trauma, and reducing the need for more detailed and objective criteria.

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