[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. |
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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 |
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