Isolated traumatic head injury in children: Analysis of 276 observations.
J Emerg Trauma Shock
; 4(1): 29-36, 2011 Jan.
Article
en En
| MEDLINE
| ID: mdl-21633564
ABSTRACT
BACKGROUND:
To determine predictive factors of mortality among children after isolated traumatic brain injury. MATERIALS ANDMETHODS:
In this retrospective study, we included all consecutive children with isolated traumatic brain injury admitted to the 22-bed intensive care unit (ICU) of Habib Bourguiba University Hospital (Sfax, Tunisia). Basic demographic, clinical, biochemical, and radiological data were recorded on admission and during ICU stay.RESULTS:
There were 276 patients with 196 boys (71%) and 80 girls, with a mean age of 6.7 ± 3.8 years. The main cause of trauma was road traffic accident (58.3%). Mean Glasgow Coma Scale score was 8 ± 2, Mean Injury Severity Score (ISS) was 23.3 ± 5.9, Mean Pediatric Trauma Score (PTS) was 4.8 ± 2.3, and Mean Pediatric Risk of Mortality (PRISM) was 10.8 ± 8. A total of 259 children required mechanical ventilation. Forty-eight children (17.4%) died. Multivariate analysis showed that factors associated with a poor prognosis were PRISM > 24 (OR 10.98), neurovegetative disorder (OR 7.1), meningeal hemorrhage (OR 2.74), and lesion type VI according to Marshall tomographic grading (OR 13.26).CONCLUSION:
In Tunisia, head injury is a frequent cause of hospital admission and is most often due to road traffic injuries. Short-term prognosis is influenced by demographic, clinical, radiological, and biochemical factors. The need to put preventive measures in place is underscored.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Tipo de estudio:
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Idioma:
En
Revista:
J Emerg Trauma Shock
Año:
2011
Tipo del documento:
Article
País de afiliación:
Túnez