[Head injuries in children--clinical characteristics as prognostic factors].
Harefuah
; 136(9): 677-81, 755, 1999 May 02.
Article
en He
| MEDLINE
| ID: mdl-10955086
ABSTRACT
An unselected series of 200 consecutive cases of major head trauma in children aged 6 months to 16 years, seen during 4 years, was studied. Injuries were due to road accidents (40%), falls (30.5%) and other causes (29.5%), and were assessed clinically and by cranial CT. On admission the Glasgow Coma Score ranged from 4.72-11.65 and in addition to pupillary responses and brain stem reflexes, was a significant predictor of outcome. Brain edema, midline shift, intracranial hemorrhage and also hyperglycemia, hypokalemia and coagulopathy, were associated with poor outcome. While 17% died, 53% were discharged in good functional condition. Early identification of clinical features related to prognosis can help the caring team provide maximal support for patient and family.
Buscar en Google
Banco de datos:
MEDLINE
Asunto principal:
Traumatismos Craneocerebrales
Tipo de estudio:
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Límite:
Adolescent
/
Child
/
Child, preschool
/
Female
/
Humans
/
Infant
/
Male
Idioma:
He
Año:
1999
Tipo del documento:
Article