The Parental Scoring in Head Injury Study. Version 1.0

  • Research type

    Research Study

  • Full title

    The inter-rater reliability of parent compared to clinician clinical decision rule scoring in children over the age of 2 years old with minor head injury.

  • IRAS ID

    241856

  • Contact name

    Charlotte Kennedy

  • Contact email

    charlotte.philbey@doctors.org.uk

  • Sponsor organisation

    Manchester University NHS Foundation Trust

  • Clinicaltrials.gov Identifier

    18/NE/0192, North East – Newcastle and North Tyneside 2 Research Ethics Committee

  • Duration of Study in the UK

    0 years, 2 months, 1 days

  • Research summary

    Title: The inter-rater reliability of parent compared to clinician clinical decision rule scoring in children over the age of 2 years old with minor head injury.

    Background and importance: Head injuries in children are common and account for a large number of Emergency Department visits every year. However, most children that attend have a mild head injury and can be discharged with no investigations or treatment. The management of children with head injury is decided on using clinical decision rules. We want to understand if parents and doctors score children in the same way using these rules. If they do, it might be possible for parents to do this before coming to hospital, meaning well children with no worrying signs would be able to stay at home. This potentially helps parents, the child and the wider NHS. It would mean less disruption for parents, less distress for the child and may help save the NHS money and reduce Emergency Department waiting times. If parents and doctors score children differently, this is still important as it might change how we give advice to parents over the phone.

    Methods and outcomes: Parents of children over 2 years old who come to the Emergency Department with a head injury and are alert on arrival will be approached for inclusion. Recruitment will occur at Royal Manchester Children’s Hospital between May and July 2018. Parents and clinicians will fill in a questionnaire with the clinical decision rule questions on them. The questions will be based on the PECARN (Pediatric Emergency Care Applied Research Network) decision rule. The responses will then be compared to calculate the inter-rater reliability for each question and the level of agreement overall.

  • REC name

    North East - Newcastle & North Tyneside 2 Research Ethics Committee

  • REC reference

    18/NE/0192

  • Date of REC Opinion

    6 Jun 2018

  • REC opinion

    Further Information Favourable Opinion