Red flags in torticollis: A historical cohort study

Meta Starc, Stefania Norbedo, Martina Tubaro, Luca Ronfani, Giulia Bassanese, Egidio Barbi

Research output: Contribution to journalArticle

Abstract

Objective This study aimed to assess the spectrum of pathologies responsible for torticollis in children presenting to the emergency department and to evaluate the associated symptoms to determine clinical red flags for hospitalization. Methods This was a historical retrospective cohort study. Medical records of children evaluated in our emergency department for torticollis from 2008 to 2013 were reviewed. Results Among 392 identified patients, 61% had postural torticollis,19.4% infection related, 16.3% traumatic, and 3.5% other. Twenty-five patients (6.4%) were hospitalized. Four variables were strongly and independently related to the severe outcome: fever, sore throat, headache, and age. Conclusions The association of 2 or 3 of these 4 features carried a risk of 32% and 58%, respectively, of having a severe illness.

Original languageEnglish
Pages (from-to)463-466
Number of pages4
JournalPediatric Emergency Care
Volume34
Issue number7
DOIs
Publication statusPublished - Jul 1 2018

Keywords

  • Hospitalization
  • Restricted neck complaints
  • Torticollis

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Emergency Medicine

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