Traumatic brain injury in Indian children

Chaitanya, Krishna; Addanki, Archana; Karambelkar, Rajendra; Ranjan, Rakesh

doi:10.1007/s00381-018-3784-z

Cited by 27 publications

(17 citation statements)

References 13 publications

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“…In our study among 175 patients, males were predominant and TBI was higher in the age group of 1-5 years. In a study done by Chaitanya K et al, the mean age of the affected participants was 5.5 years, similar to our study [8]. In our study, majority of the participants suffered from moderate TBI (70.8%) while 29.2% suffered from severe TBI.…”

Section: Discussionsupporting

confidence: 90%

Outcomes of traumatic brain injury among pediatric population presenting in emergency room

Jayapal¹,

Mansour²

2019

Int J Pediatr Res

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Background: Traumatic Brain Injury (TBI) is one of the most common cause of Emergency Room (ER) visits in the pediatric age group. Severe TBI can result in impairment of higher cognitive functions and can also limit physiological functions like motor, speech and emotional problems. This study was carried out to evaluate the outcomes of TBI among pediatric patients presenting in ER. Methods: This cross-sectional study was carried out among 175 pediatric patients visiting the emergency room with a diagnosis of traumatic brain injury. Patient with moderate to severe traumatic head injury within 72 hours and those aged 1-15 years were included. Glasgow coma scale was used to assess and grade the severity of the TBI. Glasgow Outcome Scale was used to grade the outcomes following TBI. Results: As per the Glasgow Outcome Scale (GOS), majority of the participants were graded with mild disability and good recovery (64%), while 6 patients were graded to be dead and 4.6% of the participants were graded to be in vegetative state. In this study, significant correlation between severity of the TBI and its outcome. Moderate TBI was associated with better outcomes compared to severe TBI. The association was found to be statistically significant (p<0.0001). Conclusion: Considering the impact of specific causes of TBI namely motor vehicle accidents and fall from height, there is a need for implementation of rigorous legislations which can minimize the risk for such accidents involving the pediatric age groups. It is essential to create safe public places, which are not only utility based, but also enable vulnerable age groups access them with minimal risk.

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Section: Discussionsupporting

confidence: 90%

Outcomes of traumatic brain injury among pediatric population presenting in emergency room

Jayapal¹,

Mansour²

2019

Int J Pediatr Res

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“…As a result, in many developed countries, more than half of child deaths result from traumatic brain injury which corresponds to approximately 18 times the tumor-related deaths [1] . Of the 96 patients in our series, 15 (15.6%) died within one year and unfortunately this figure may increase in long-term follow-up.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of Common Experience of Neurosurgery and Pediatric Intensive Care Unit on Pediatric Head Trauma under the Light of Current Literature: Analysis of 96 Cases

Gürbüz¹

2019

Haydarpasa Numune Med J

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Introduction: This study aimed to evaluate the features and injury mechanisms of pediatric head trauma, demographics of the patients and factors affecting the outcome and to present the common experience of neurosurgery and pediatric intensive care unit (PICU) in light of the current literature. Methods: Ninety-six of 110 children under the age of 18 who had sufficient data and were treated in PICU for head trauma between 2014 and 2018 were evaluated retrospectively. The association between age, sex, mechanism of injury, neurological examination at presentation, Glasgow coma scale (GCS) score, history of cardiopulmonary resuscitation, shock, blood glucose level, hypoxia, convulsion, mean arterial pressure, heart rate per minute, body temperature, intracranial pressure (ICP) values, surgical interventions and Glasgow outcome scale (GOS) scores was investigated. Results: There were 32 patients (33.3%) in mild head trauma group, 28 patients (29.1%) in moderate head trauma group and 36 patients (37.5%) in severe head trauma group. Isolated head trauma was present in 49 patients, and multitrauma was observed in the remaining. The rate of favourable outcome was 72.9% (70 patients), and that of unfavourable outcome was 27.1% (26 patients) with the mortality rate of 15.6%. A moderate and negative correlation between presenting GCS scores and presenting blood glucose levels (rho: -0.422 p<0.001), and a moderate and positive correlation between presenting GCS scores and presenting body temperature were observed (rho: 0.422 p<0.001). A highly significant positive correlation was observed between GCS and 1-year GOS scores (rho: 0.762 p<0.001). Discussion and Conclusion: Analyzing the characteristics of pediatric head trauma, knowing the prognostic factors, developing a common algorithm and standardizing the management parallel to current literature will contribute to a favourable prognosis.

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“…Con respecto al sexo la población masculina es la más afectada con el 70 % de los casos (8,30,37,42,43) , lo cual concuerda con los datos obtenidos en esta investigación. Esta diferencia podría explicarse por el tipo de actividades físicas y los comportamientos propios de cada sexo (44,45) .…”

Section: Discussionunclassified

“…La etiología varía según la edad y se relaciona con el grado de desarrollo psicomotor del niño. Entre los principales mecanismos de lesiones están las caídas, los accidentes de tránsito, los traumas directos y el maltrato físico (3)(4)(5)(6)(7)(8) , lo anterior sumado a factores de riesgo del entorno de los niños como el abandono, el nivel de escolaridad y la condición económica de los cuidadores (9) . El TCE puede clasificarse según el tipo de lesión en contusiones, fracturas craneanas y hemorragias intracraneanas o, según la gravedad de acuerdo con la escala de coma de Glasgow, adaptada a la edad pediátrica así: TCE leve con puntaje entre 13 y 15, TCE moderado con puntaje entre 9 y 12 y TCE grave con puntaje menor o igual a 8 (2,10) .…”

Section: Introductionunclassified

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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Traumatic brain injury in Indian children

Cited by 27 publications

References 13 publications

Outcomes of traumatic brain injury among pediatric population presenting in emergency room

Outcomes of traumatic brain injury among pediatric population presenting in emergency room

Evaluation of Common Experience of Neurosurgery and Pediatric Intensive Care Unit on Pediatric Head Trauma under the Light of Current Literature: Analysis of 96 Cases

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

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