Development of a novel clinical decision support tool for determining the need for whole-body computed tomography in pediatric trauma patients: the WHOLE score
Enes Çay, Gül Pamukçu Günaydın, Çağdaş Yıldırım, Alp Şener · 2026
Read Development of a novel clinical decision support tool for determining the need for whole-body computed tomography in pediatric trauma patients: the WHOLE score by Enes Çay, Gül Pamukçu Günaydın, Çağdaş Yıldırım, Alp Şener (2026) in the Tower of Babel, a free online library of public-domain works preserved in clean, searchable text. No sign-up. The full text is served as a plain-text file at a predictable URL, where text is present: https://antarctic-labs.com/tower-of-babel/PMC13560304.txt.
Description
Enes Çay and three colleagues develop the WHOLE score, a bedside tool to decide which injured children truly need whole-body CT scanning. Their 2026 retrospective study reviews 407 pediatric trauma patients who received whole-body scans at a tertiary center between June 2021 and June 2022. Routine scanning exposes children to heavy radiation, so a rule-out aid has clear value.
Injuries spanning two or more body regions appeared in 37.6 percent of the scanned children. Regression isolated six predictors: age at or above 133 months, fast heart rate, low oxygen, positive examination findings in specific regions, and a liver enzyme at or above a set threshold. Combined into a zero-to-eight score, the tool discriminated well, with an area under the curve of 0.84 in the derivation data. A cutoff of two points caught 96.7 percent of multi-region injuries. The authors frame low scores as support for skipping the scan, pending outside validation.
Catalog record
| CREATOR | Enes Çay, Gül Pamukçu Günaydın, Çağdaş Yıldırım, Alp Şener |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 46369 |
| LICENSE | https://creativecommons.org/licenses/by/4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |