External validation and extended application of four clinical decision rules in minor head injuries
In this extended minor head injury cohort, CCHR, NOC, CCR, and NEXUS did not achieve near-perfect sensitivity and had limited specificity. These rules have limited utility as stand-alone exclusion tools for reducing CT use and may serve as adjuncts to clinical judgment.
Authors
- Byongmun An
- Kei Kimoto (ORCID: https://orcid.org/0009-0007-5196-5899)
- Takayuki Ogura
- Hiroaki Ryo
- Tasuku Matsuyama
Institutions
- Nagoya City University (JP)
- Kyoto Prefectural University of Medicine (JP)
- Tochigi Prefectural Police (JP)
- Kameda Medical Center (JP)
- Saiseikai Utsunomiya hospital (JP)
- Kyoto first Red Cross hospital (JP)
- Hitachi General Hospital (JP)
- Yokohama City University (JP)
Publication Details
- Journal
- The American Journal of Emergency Medicine
- Published
- 2026-02-26
- DOI
- https://doi.org/10.1016/j.ajem.2026.02.029
- Primary Topic
- Traumatic Brain Injury and Neurovascular Disturbances
- Type
- article
- Field-Weighted Citation Impact
- 0.00