Clinical Factors Associated with Intracranial Complications after Pediatric Traumatic Head Injury: An Observational Study of Children Submitted to a Neurosurgical Referral Unit

Åstrand, Ramona; Undén, Johan; Hesselgard, Karin; Reinstrup, Peter; Romner, Bertil

doi:10.1159/000319006

Cited by 11 publications

(13 citation statements)

References 58 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The patient who had a GCS of 13-15 (218) had a poor out come in 8 (3.67%), followed by GCS of 9-12 (92) who had a poor outcome in 22(23.91%) followed be GCS of 8 or less then 8 (35) who had poor outcome in 15(42.86%) which is similar as reported by Astrand R et.al [10].…”

Section: Discussionsupporting

confidence: 84%

Clinical spectrum of paediatric head injury. A prospective study from tribal region

Lodha¹,

Gupta²,

Jaiswal³

et al. 2020

roneuro

View full text Add to dashboard Cite

Introduction: Traumatic brain injury is considered as a major health problem which causes frequent deaths and disabilities in the paediatric population with special concern to tribal regions of developing countries like India where aetiology of traumatic brain injury in the paediatric population fall from height dominant over the road traffic accident as a major. Aim & Objective: The aim is to analyse the epidemiology, mechanism, clinical presentation, severity and outcome of paediatric head injury in the tribal region of northern India that could help to make preventive policies to improve their care. Material Methods: It is a prospective observational study of 345 children of up to 18 years of age admitted under Department of Neurosurgery from October 2017 to April 2019. Results: The study population comprised of 345 paediatric patients. Mean age was 9.25 years.36.81% patients were in 1-6-year age group and male to female ratio was 2.45. The most common cause for trauma was fall from height in 179(52%) cases followed by RTA in 141(41%) cases. The most common radiological finding was depressed skull fractures in 97(50%) cases. There was 35% mortality in severe head injury patients. Conclusion: This study through some light on the different scenario of head injury in Tribal regions of Developing country and will help to formulate effective strategies for prevention and better care of the patients.

show abstract

Section: Discussionsupporting

confidence: 84%

Clinical spectrum of paediatric head injury. A prospective study from tribal region

Lodha¹,

Gupta²,

Jaiswal³

et al. 2020

roneuro

View full text Add to dashboard Cite

show abstract

“…The studies in which pediatric forensic cases were evaluated identified the age average as 8,2-9,1 years of age and defined that the frequency of getting injuries increased in preschool age children and school age children. This present study also showed that the age average was similarly 9,2 ± 6,2 and the occurrence of cases was the most frequent in children between 11-17 years of age and preschool children followed [13][14][15]. The fewest of the cases were detected in newborns.…”

Section: Discussionsupporting

confidence: 80%

The evaluation of pediatric forensic cases presented to emergency department

Ökçesiz

Kozacı²,

Avcı³

et al. 2018

Disaster Emerg Med J

View full text Add to dashboard Cite

InTroducTIon: Pediatric age group serves as a preparation stage for the rest of the life. This age group has specific psychological, physiological and social conditions. This present study examined pediatric forensic cases aged between 0-18. Obtained parameters determined characteristics of pediatric age group forensic cases. MeThods: 1624 pediatric forensic cases aged between 0-18 who were admitted to the emergency department at a tertiary healthcare service between the dates 31 October 2014 and 31 October 2016 were evaluated retrospectively. The cases were evaluated in terms of age, gender, nationality, admission time and season, reasons for presentation, radiological imaging techniques, consultation, intervention, treatment ward, clinical outcome and application of cardiopulmonary resuscitation. resulTs: Age average of the patients was 9,2 ± 6,2. Adolescent age group (49, 4%) was the most frequently admitted after traumatization. 61% of the patients constituted male patients. An association between age and gender was not detected. The most frequent reasons for admissions were assault (28,7%) and drug intoxication (22,4%). Assault, drug intoxication, traffic accidents, substance intake, penetrating stab wounds, falling down from the height and animal bites were frequently seen in adolescents whereas simple falling, corrosive substance ingestion and burn were highly seen in infants. Assault, penetrating stab wounds and gunshot injuries were detected to be frequent in males; drug and substance use was seen to be frequent in females. The patients (57%) were seen to be admitted to the emergency between the hours 16 00-24 00. 46.4% of the patients underwent radiological imaging. Trauma patients were seen to undergo radiological imaging more frequently. A consultation was required for 42.4% of the patients. The discharge rate of the patients from the emergency was 66.9%. Patients discharged from the emergency were seen to undergo radiography and computed tomography directly. This was found to be significantly high. conclusIons: Pediatric forensic cases are seen in adolescence and school-age children more frequently. The most frequent forensic cases were assaults and intoxications. Forensic cases are more frequently seen in males. Assaults are more frequent in males whereas intoxications are more frequent in females. Most of the forensic cases are discharged from the emergency department. Patients discharged from the emergency undergo radiological imaging at higher rates compared to the other patients.

show abstract

“…[ 25 ] Astrand et al . [ 26 ] reported poor outcome in GCS 14–15 in 0%, in 9–13 as 6.2%, and < 8 had 22% poor outcome. Ong et al .…”

Section: Discussionmentioning

confidence: 99%

“…Astrand et al . [ 26 ] reported 100% poor outcome in dilated pupils unresponsive to light. Suresh et al .…”

Section: Discussionmentioning

confidence: 99%

Pediatric head injury: A study of 403 cases in a tertiary care hospital in a developing country

et al. 2017

View full text Add to dashboard Cite

Introduction:Traumatic brain injury (TBI) in children is a significant cause of morbidity and mortality worldwide. Falls are the most common type of injury, followed by motor vehicle-related accidents and child abuse.Aims and Objectives:The aim and objective of this study was to elucidate the various modes of injury, prognostic factors, complications, incidence of various modes of injury, and outcome in TBI in pediatric population.Materials and Methods:Patients with TBI, 18 years or less in age, managed in our Department of Neurosurgery, over a period of 2 years, were studied prospectively. Detailed history, general physical examination, systemic examination, and central nervous system examination including assessment of Glasgow Coma Scale score (GCS) and pupillary size and reaction were noted in every patient. Based on GCS, patients were divided into mild head injury (GCS 13–15), moderate head injury (GCS 9–12), and severe head injury (GCS ≤8) categories. All the patients were subjected to plain computed tomography (CT) scan head, and CT findings were noted. Patients were managed conservatively or surgically as per the standard indications. The outcome of all these patients was assessed by Glasgow outcome scale and divided into good (normal, moderate disability) and poor (severe, vegetative, dead) outcome. Outcome was assessed in relation to age, sex, GCS, pupil size and reaction, CT scan features, intervention, and associated injuries.Results:A total of 403 patients aged between 1 day and 18 years were included in the study comprising 252 males (63%) and 151 females (37.75%). The common modes of injury were fall 228 (56.6%) followed by road traffic accidents 138 (34.2%), assault 10 (2.5%), and others 27 (6.7%) which include sports injury, hit by some object on head, and firearm injury. Majority of our patients had a GCS of 13–15 (mild head injury), 229 (57.3%), followed by 9–12 (moderate head injury) 119 (29.8%), followed by 8 or less (severe head injury) 52 (13%). In group of patients in the category of GCS ≤ 8, poor outcome was seen in 65.3%, followed by patients in group GCS 9–12 at 2.45% succeeded by group of patients with GCS 13–15 at 2.6%, which was statistically significant (P < 0.0001). A total of 354 (87.8%) patients had normal pupils, 37 (9.2%) had anisocoria, and 12 (3%) patients had fixed dilated pupils. Fixed dilated pupil had poor outcome (100%) followed by anisocoria (40.5%) and normal pupils (16%), which was statistically significant (P < 0.0001).Conclusion:Majority of children who suffer from TBI do well although it still continues to be a significant cause of morbidity and mortality in them. The outcome is directly related to the neurological status in which they present to the hospital.

show abstract

Clinical Factors Associated with Intracranial Complications after Pediatric Traumatic Head Injury: An Observational Study of Children Submitted to a Neurosurgical Referral Unit

Cited by 11 publications

References 58 publications

Clinical spectrum of paediatric head injury. A prospective study from tribal region

Clinical spectrum of paediatric head injury. A prospective study from tribal region

The evaluation of pediatric forensic cases presented to emergency department

Pediatric head injury: A study of 403 cases in a tertiary care hospital in a developing country

Contact Info

Product

Resources

About