Compliance with the PECARN and AEP guidelines in diagnostic approach of mild head trauma in patients younger than 24 months old

Abstract Introduction Mild head trauma is a frequent complaint in paediatric emergency departments. Several guidelines have been published in the last few years. However, significant variability can be appreciated in terms of the demand for image tests. The aim of this study is to determine the level of compliance with PECARN and AEP guidelines in the management of patients younger than 24 months old in four different hospitals. Patients and methods A multicenter retrospective study was conducted on patients presenting with mild head trauma between October 1st, 2011 and March 31st, 2013 in the emergency departments of four hospitals. Results In the analysis of the results obtained, only 1 of the 4 hospitals complied with the AEP guidelines in more than 50% of the patients. The other three hospitals had a level of compliance lower than 50%. Management was more suitable according to PECARN guidelines, with 3 of the 4 hospitals having a level of compliance greater than 50%. However, the best compliance achieved by a hospital was only of 70%. Conclusions The study shows that the level of compliance with guidelines for management of mild head trauma in patients younger than 24 months old is low.