Evaluation of Head On Computed Tomography Among Paediatric Patients Presenting with Trauma

Abstract

Unintentional falls from heights are one of the leading causes of mortality and permanent brain and bone damage in children. Objective: To evaluate the causes, symptoms, and findings of paediatric head trauma using Computed Tomography. Methods: It was a descriptive cross-sectional study conducted at Aziz Bhatti Teaching Hospital, Gujrat. The data was collected from October 2022 to December 2022 for the duration of 4 months. A sample size of 120 patients has been calculated via a convenient sampling technique using a mean approach from previous related articles. Patients with falls from height in paediatric age 0-12 were included in the study while children elder than 12 were excluded from the study. The equipment used for the study was CT scan machine-64 helical. The data were entered and analyzed with the help of SPSS version 20.0. Results: Out of 120 patients, most of the patients were in the age group of >1-5years 72(60.0%), 78(65.0%) patients were male while females were 42(35.0%). The most common finding on CT with a history of falls from height is noted to be skull fracture 51(42.5%). 84(70.0%) patients fall from the height of >6 and <15feet and the most common clinical finding in patients was pain 52(43.3%), followed by bleeding 41(34.2%). Conclusion: In conclusion, most of children between the age of 1-5years experience fall from a height of >6 feet to <15feet. Skull fracture is the most common diagnosis. CT is an accurate and reliable tool for diagnosing injuries in patients who fall from heights.