[Head injuries in children--clinical characteristics as prognostic factors]

Autor: Paret, G., Ben Abraham, R., Berman, S., Vardi, A., Ran Harel, Manisterski, Y., Barzilay, Z.
Rok vydání: 2000
Předmět:
Zdroj: Europe PubMed Central
Scopus-Elsevier
ISSN: 0017-7768
Popis: 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.
Databáze: OpenAIRE