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Investigators from multiple institutions conducted a retrospective study to assess the frequency of cervical spine imaging and injury in children with non-motor vehicle crash (MVC)-associated traumatic brain injury (TBI). Children were eligible if they presented to one of 4 participating hospitals and received an ICD-9 code for non-MVC-associated injury types, such as fracture, TBI, and internal injury. After excluding those injured in MVCs, a smaller sample was randomly selected for chart review to identify a final cohort of children with TBI, defined as an intracranial hemorrhage or parenchymal injury documented on a CT or MRI. A stratified approach was used to identify this chart review sample to ensure adequate representation by age, gender, injury, and hospital. …
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