Objective-To determine the factors influencing the risk of an acute traumatic intracranial haematoma in children and adults with a recent head injury.Design-Prospective study of incidence of risk factors in samples of patients attending accident and emergency departments and in all patients having an acute traumatic intracranial haematoma evacuated in one regional neurosurgical unit during 11 years.Setting-Accident and emergency departments in Scotland or Teesside and regional neurosurgical centre in Glasgow.Patients-8406 Adults and children (s14 years) who attended accident and emergency departments and 1007 consecutive patients who had an operation for an acute traumatic intracranial haematoma. Data were complete in 8366 and 960 patients respectively.

Study objective-The aim ofthe study was to examine the differences between child and adult patients attending accident and emergency departments after recent head injuries.Design and setting-A retrospective survey based on existing case records from 23

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