Variation in therapy and outcome for pediatric head trauma patients.
Crit Care Med
; 29(5): 1056-61, 2001 May.
Article
em En
| MEDLINE
| ID: mdl-11378621
ABSTRACT
OBJECTIVE:
This study was undertaken to examine variation in therapies and outcome for pediatric head trauma patients by patient characteristics and by pediatric intensive care unit. Specifically, the study was designed to examine severity of illness on admission to the pediatric intensive care unit, the therapies used during the pediatric intensive care unit stay, and patient outcomes. DATA SOURCES ANDSETTING:
Consecutive admissions from three pediatric intensive care units were recorded prospectively (n = 5,749). For this study, all patients with an admitting diagnosis of head trauma were included (n = 477). Data collection occurred during an 18-month period beginning in June 1996. All of the pediatric intensive care units were located in children's hospitals, had residency and fellowship training programs, and were headed by a pediatric intensivist.METHODS:
Admission severity was measured as the worst recorded physiological derangement during the periodRESULTS:
The overall mortality rate for the entire sample was 7.8%. Mortality rates for childrenCONCLUSIONS:
Therapies and outcomes vary across pediatric intensive care units that care for children with head injuries. Increased use of seizure medications may be warranted based on data from this observational study. Large randomized controlled trials of seizure prophylaxis in children with head injury have not been conducted and are needed to confirm the findings presented here.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Cuidados Críticos
/
Traumatismos Craniocerebrais
Tipo de estudo:
Clinical_trials
/
Etiology_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Child, preschool
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Female
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Humans
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Infant
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Male
Idioma:
En
Revista:
Crit Care Med
Ano de publicação:
2001
Tipo de documento:
Article
País de afiliação:
Estados Unidos