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Trials of adult prediction tools in paediatric cohorts, including the IMPACT and CRASH-TBI models, showed comparable accuracy between classification of adults and children. Models derived from paediatric cohorts showed improved accuracy. Most studies solely focused on clinical variables, with two studies incorporating biochemical and imaging variables. Predictive models for paediatric traumatic brain injury are primarily based on methods and variables identified in adult studies. While adult models have proven effective in select paedia