Have the UK Pediatric Trauma Protocols resulted in a reduction in chest computed tomography imaging for children presenting with major blunt trauma?

The introduction of the RCR guideline was associated with a drop in the level of WBCT use (−0.76; 95% confidence interval [CI]:−1.61 to 0.09) (Figure 1 ) but did not reach statistical significance ( P = 0.079) although a statistically significant decreasing trend was observed up to the end of the fourth quarter of 2019 ( P = 0.013) (−0.14; 95% CI: −0.25 to −0.03).

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Conclusion The increased use of CXR with CTAP after publication of the guidelines, was not sustained with a decreasing trend observed from ∼2017, raising concern for the ionizing radiation burden in this population.

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This retrospective observational study of the UK national database from TARN (2012–2021) showed an initial fall followed by an increasing trend in the use of thoracic CT imaging for children presenting to the ED with trauma, whether this was with WBCT or CTCAP, with or without chest radiography.

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