Pediatric head injuries, retrospective analysis of 851 patients: An epidemiological study

Işik, Hasan Serdar; Gökyar, Ahmet; Yildiz, Can; Bostancı, Uğur; Özdemir, Cengiz

doi:10.5505/tjtes.2011.22800

Cited by 29 publications

(17 citation statements)

References 17 publications

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“…However, operative interventions were required in 29 (17.3%) patients on account of open skull fractures and for evacuation of intracranial hematomas. This rate of surgical intervention is about the same as 10.5% reported by Işık et al [13] in an earlier study. Significant good outcome (138, 81%) reported in this study was similar to the findings by Nnadi et al [10] in Calabar (92.1%).…”

Section: Discussionsupporting

confidence: 85%

“…The incidence of mild TBI recorded in this study (79, 47.0%) [Table 4] is lesser than 60% and 74% as reported by Emejulu and Shokunbi[7] and Işık et al ,[13] respectively. Earlier study in Ilorin by Odebode and Abubakar,[14] which reported lower incidence of TBI (37.5%), was conducted at a time when neither CT scan nor neurosurgical service was available at our center to confirm and manage brain injury.…”

Section: Discussioncontrasting

confidence: 62%

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Clinical parameters, management, and outcomes of childhood traumatic brain injury in Ilorin

et al. 2019

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Background:Traumatic brain injury (TBI) is common among children, accounting for 75% of children hospitalized for trauma. Childhood TBI is a leading cause of death from trauma in the pediatric age group and the incidence is on the rise globally.Objective:The objective of this study was to determine the etiology, management, and outcome of childhood TBI in our setting.Subjects and Methods:This is a retrospective study of all cases of childhood TBI. Relevant data extracted from case records were analyzed using a 2011 Statistical Package for the Social Sciences (SPSS; IBM, Armonk, New York) software for Windows, version 20.Results:A total of 168 children with TBI were studied. Of which, 109 (65%) were males and 59 (35%) were females (male/female ratio of 13:7, mean age, 7 ± 4 years). Most of the injuries (138, 82%) occurred outdoor; road traffic crash and fall accounted for 101 (60.1%) and 47 (27.9%) cases, respectively. Pedestrian motor vehicular accident accounted for 41 (41.8%) cases, whereas 30 (30.6%) were due to motorcycle road traffic crash. Good recovery was recorded in 138 (81%) patients, 22 (13.1%) had moderate disability. Mortality rate was 6%.Conclusion:Brain injury from trauma still constitutes a significant part of childhood morbidity and mortality in our setting; these deaths are avoidable in most cases. The outlook can be better if preventive efforts are geared toward domestic and road safety campaign.

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Section: Discussionsupporting

confidence: 85%

Section: Discussioncontrasting

confidence: 62%

Clinical parameters, management, and outcomes of childhood traumatic brain injury in Ilorin

et al. 2019

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“…En un metaanálisis del grupo IMPACT (del inglés International Mission on Prognosis and Analysis of Clinical Trials in TBI) describieron como causa principal el accidente automovilístico seguido por las caídas y los accidentes deportivos en pacientes mayores de 14 años (31) . Sin embargo, en otros lugares geográficos como África, Oriente medio y el sur de Asia se reportan las caídas como la principal causa del TCE, seguidas de accidentes de tránsito y trauma no accidental (5,(32)(33)(34) . Según Michael et al, estas variaciones demográficas pueden estar dadas por el nivel de desarrollo del país (14) .…”

Section: Discussionunclassified

Traumatismo craneoencefálico en niños. Hospital General de Medellín y Clínica Somer de Rionegro, 2010-2017

Jiménez-Aguilar

Montoya-Jaramillo

Benjumea-Bedoya

et al. 2019

Iatreia

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Objetivo: describir las características sociodemográficas, aspectos clínicos y complicaciones de los niños de 0 a 10 años de edad que sufrieron traumatismo craneoencefálico, atendidos en el Hospital General de Medellín y en la Clínica Somer de Rionegro entre los años 2010 y 2017.Métodos: estudio descriptivo retrospectivo, toma como fuente de información las historias clínicas de los niños con diagnósticos relacionados con el traumatismo craneoencefálico entre 2010-2017. Se calcularon las proporciones de las variables sociodemográficas, circunstanciales, espacio-temporales y clínicas.Resultados: se encontraron 224 pacientes con traumatismo craneoencefálico, el 64,7 % de los casos fueron de sexo masculino, la edad promedio fue de 4,5 años. El trauma ocurrió con mayor frecuencia en el domicilio del paciente entre los días de la semana en las horas de la tarde. La causa principal del trauma fue caída (75 %), seguido por accidentes de tránsito (13,3 %). La gravedad del traumatismo se midió con la escala de coma de Glasgow, el 78 % fue leve, hubo un caso fatal y 7 (3 %) tuvieron complicaciones motoras durante la hospitalización.Conclusión: los hallazgos de este estudio coinciden con las principales características del traumatismo craneoencefálico de la población pediátrica en el mundo, amplía la información regional y local para el desarrollo de estrategias de prevención, diagnóstico y seguimiento a largo plazo de los pacientes.

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“…Işık et al showed a 3.8% of mortality among head traumas in children 7 . Head trauma caused by fallen television causes greater mortality and morbidity than the other types of head traumas among children [8][9][10] .…”

Section: Discussionmentioning

confidence: 99%

Isolated Head Injuries Caused By Fallen Television under the Age of Seven

Yurtseven¹,

Yıldırım²,

Büyükcam³

et al. 2015

Sakarya Med J

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Amaç: Ev kazaları tüm kazaların yaklaşık %25'ini oluşturur. Bu kazaların da bir kısmını televizyon düşmeleri oluşturmaktadır. Bu çalışmada evde televizyon düşmesi nedeni ile oluşan izole kafa travmaları araştırıldı. Gereç ve Yöntem: Bu retrospektif çalışmaya, dört yıllık bir periyotta, acil servise, üzerine televizyon düşmesi sonrası getirilen ve izole kafa travması olan yedi yaş atında 26 çocuk hasta dahil edildi. Hastaların yaş grupları ve BT'de görülen patolojiler ve mortaliteler araştırıldı. Bulgular: Bir yaş altında hasta yoktu ve vakaların 19'u (%73.0) 2 yaş üzerindeydi. Mortalite 5 (%19.2) idi. Hastalarda en sık görülen BT bulgusu öncelikle yumuşak doku şişliği (%34.6), sonrasında lineer kemik kırıkları (%30.7) idi. Sonuç: Televizyon düşmeleri ile yaralanmalarda mortalite tüm kafa travmalarında görülenden daha fazla olduğu görüldü. Bu nedenle televizyon düşmeleri ile gelen hastaların dikkatle değerlendirilmesi gerekmektedir. Ayrıca, evlerde televizyon düşmelerine karşı alınabilecek tedbirler hakkında toplumsal bilinçlendirme yapılması kazaları ve buna bağlı olarak da moralite ve morbiditeyi azaltacaktır.

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Pediatric head injuries, retrospective analysis of 851 patients: An epidemiological study

Cited by 29 publications

References 17 publications

Clinical parameters, management, and outcomes of childhood traumatic brain injury in Ilorin

Clinical parameters, management, and outcomes of childhood traumatic brain injury in Ilorin

Traumatismo craneoencefálico en niños. Hospital General de Medellín y Clínica Somer de Rionegro, 2010-2017

Isolated Head Injuries Caused By Fallen Television under the Age of Seven

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