Pediatric head injuries: A retrospective analysis of 280 patients
Küçük Resim Yok
Tarih
2005
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
BACKGROUND: To assess etiological factors, clinical features, radiological findings and recovery rates in pediatric head injuries. METHODS: Patients (n = 280) with head injuries (age range: 0-16 years) hospitalized in Trakya University Department of Neurosurgery between January 1995 and 2004 were analyzed statistically. RESULTS: According to Glasgow Coma Scale (GCS) the patients had minor (GCS: 13-15; 70.1%), moderate (GCS: 9- 12; 17.1%), or severe (GCS: 3 to 8; 6.8%). head injuries The most common etiological factor was fall from a height (34.3%); and the most frequently associated injury was extra-spinal skeletal injury (12.9%). Fifty-one patients (18.2%) underwent neurosurgical operation. 87.5% of them recovered completely, while 12.5% showed partial recovery or died, as graded by Glasgow Outcome Scale (GOS). There was a moderately strong correlation between initial GCS and GOS (r=0.53, p=0.01). CONCLUSIONS: Nearly half of the pediatric head injuries were caused by falls with good prognoses. In the school age, motor vehicle accident (MVA) was the most frequent trauma type. MVA was the most serious type of trauma as demonstrated by its low GCS and GOS scores. Polytraumas, subdural hematomas, cerebral contusions, subarachnoid or intracerebral hemorrhages, cerebral edemas, diffuse axonal injuries, and any cranial lesion which required surgery were found to be related with poor prognosis.
Açıklama
Anahtar Kelimeler
Children; Epidemiology; Glasgow Coma Scale; Glasgow Outcome Scale; Head Trauma, Adolescent; Article; Bone Disease; Brain Contusion; Brain Edema; Child; Controlled Study; Correlation Analysis; Diffuse Axonal Injury; Disease Association; Falling; Glasgow Coma Scale; Head Injury; Human; Infant; Major Clinical Study; Male; Multiple Trauma; Neurosurgery; Pediatrics; Prognosis; Retrospective Study; Spine Injury; Subdural Hematoma; Traffic Accident; Treatment Outcome; Craniocerebral Trauma; Female; Newborn; Preschool Child; Turkey; Adolescent; Child; Child, Preschool; Craniocerebral Trauma; Female; Glasgow Coma Scale; Humans; Infant; Infant, Newborn; Male; Retrospective Studies; Turkey
Kaynak
Ulusal Travma ve Acil Cerrahi Dergisi
WoS Q Değeri
Scopus Q Değeri
N/A
Cilt
11
Sayı
4
