Aggregate Evidence Quality | Grade C |
Benefits | Reduce unnecessary testing, radiation exposure, sedation, caregiver/infant anxiety, and costs |
Avoid consequences of false-positive results | |
Risks, harm, cost | May rarely miss diagnostic opportunity for CNS causes of BRUEs |
May miss unexpected cases of abusive head trauma | |
Benefit-harm assessment | The benefits of reducing unnecessary testing, radiation exposure, sedation, and false-positive results, as well as alleviating caregiver and infant anxiety, outweigh the rare missed diagnostic opportunity for CNS cause |
Intentional vagueness | None |
Role of patient preferences | Caregivers may seek reassurance from neuroimaging and may not understand the risks from radiation and sedation |
Exclusions | None |
Strength | Moderate recommendation |
Key references | 2,32,81 |
Aggregate Evidence Quality | Grade C |
Benefits | Reduce unnecessary testing, radiation exposure, sedation, caregiver/infant anxiety, and costs |
Avoid consequences of false-positive results | |
Risks, harm, cost | May rarely miss diagnostic opportunity for CNS causes of BRUEs |
May miss unexpected cases of abusive head trauma | |
Benefit-harm assessment | The benefits of reducing unnecessary testing, radiation exposure, sedation, and false-positive results, as well as alleviating caregiver and infant anxiety, outweigh the rare missed diagnostic opportunity for CNS cause |
Intentional vagueness | None |
Role of patient preferences | Caregivers may seek reassurance from neuroimaging and may not understand the risks from radiation and sedation |
Exclusions | None |
Strength | Moderate recommendation |
Key references | 2,32,81 |