Epidemiology and management of paediatric head injury in eastern Nepal

Agrawal, Arpana; Agrawal, Chandra Shekhar; Kumar, Ashwini; Lewis, Owen; Malla, Gyanendra; Khatiwada, Roshan; Rokaya, Poojan Kumar

doi:10.4103/0189-6725.41630

Cited by 22 publications

(22 citation statements)

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“…Our findings were thus keeping with the above mentioned literature. Loss of consciousness and vomiting were the most common clinical presentation in patients with head injury which was similar to the study done by Bhandari et al [8] and Agrawal et al [9].…”

Section: Discussionsupporting

confidence: 88%

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Role of CT(Computed Tomography) in Head Injury

Khadka

Deka

Karki

2016

J. Manmohan Memorial Inst. Health. Sci.

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Background: Head injury is considered as a major health problem that is a frequent cause of death and disability and makes considerable demands on health services. CT remains essential for detecting lesions that require immediate neurosurgical intervention as well as those that require in-hospital observation and medical management. Objectives:To evaluate the computed tomography findings in patients sustaining head injury and to emphasize the importance of computed tomography scan in head injury. Methodology:The study was conducted for the period of one year .It comprised a total number of eighty patients presenting to the emergency room(ER) with head injury and were evaluated by CT scan of head using siemens somatom dual slice spiral CT machine.Results: the study showed overall male to female ratio as 2.6:1. Head injury was most common in 31-50years of age group. Road traffic accidents (RTA) was the commonest mode of injury seen in 65% of patients.Loss of consciousness followed by vomiting and seizures were the common clinical presentations in head trauma patients respectively.According to Glasgow coma scale( GCS) , most of the patients (68.8%)sustained mild head injury( GCS13-15) . Most common abnormal CT findings were skull fractures 39(48.8%), extradural hematoma 31 ( 38.8%), subdural hematoma 21(26.2%) ,contusions 21(26.2%) , subarachnoid hemorrhage14 ( 17.5%) and pneumocephalous 13 (16.2%) respectively. Linear skull fracture was the commonest among all other skull fractures.Patients sustaining severe head injury were mostly due to RTA (77%). The highest mortality was seen in patients with severe head injury (GCS 3-8). 5% also had cervical spine injury. Conclusion:CT is the most comprehensive diagnostic modality for accurate localization of the site of injury in craniocerebral trauma. The early and timely diagnosis of the precise lesion by CT not only had the substantial impact over instituting appropriate treatment and timely surgical intervention but also helped in predicting the ultimate outcome.

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Section: Discussionsupporting

confidence: 88%

“…RTA was the commonest mode of injury in the patients who expired. .This findings were similar with the studies done by Yattoo et al [13] in 547 patients, and Agrawal et al [9] showing 6.4%and 7% respectively. Four out of 80 patients (5%) had sustained cervical injury.…”

Section: No Yessupporting

confidence: 92%

Role of CT(Computed Tomography) in Head Injury

Khadka

Deka

Karki

2016

J. Manmohan Memorial Inst. Health. Sci.

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“…However, some other studies report mild head injuries to be commonest type in children. [7] Like adults, head trauma in children (>4 years old) is often motor vehicle-related, but the percentage of motor vehicle and motor vehicle-related accidents also increases with increasing age: 20% in children 0 to 4 years of age and up to 66% in adolescents. [8] Studies show that the 6 to 10 year age group had the peak incidence in involvement in pedestrian road traffic accidents.…”

Section: Discussionmentioning

confidence: 99%

Traumatic brain injuries in children: A hospital-based study in Nigeria

Udoh¹,

Adeyemo²

2013

Afr J Paediatr Surg

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“…This collaborates with the reports of others. [3,[8][9][10][11] In our setting, street trading, hawking of wares, begging as well as errand running by children are common practices, especially among the less privileged. This exposes to traffic risks, coupled with the reckless driving by unlicensed motorists and commercial motorcyclists, makes the children accident proned on our streets and roads.…”

Section: Discussionmentioning

confidence: 99%