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Italian guidelines on the assessment and management of pediatric head injury in the emergency department.

Ital J Pediatr · 2018 · PMC5769508 · PMID 29334996

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an increasing trendno p-value reported
Between 600,000 and 700,000 children are evaluated annually in the EDs in the United States for blunt head trauma, with an increasing trend over time [ 4 , 5 ].

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Quoted from the open-access full text in Europe PMC under the licence the publisher applied. The sentence is reproduced exactly as published; the emphasis is ours.