Comparing the systolic blood pressure (SBP) and pulse rate (PR) in injured children with and without traumatic brain injury

Resuscitation
Eleana LoizouFiona Lecky

Abstract

Following evidence that injured children have higher systolic blood pressures (SBP) than similar-aged resting uninjured children, we investigate whether the initial cardiovascular physiology differs between forms of injury. Analysis of prospectively recorded data from the Trauma Audit and Research Network (TARN) database of injured children aged <or=15, presenting with blunt trauma from March 1988 to February 2009. We compared the ED arrival SBP and pulse rate (PR) in children with and without TBI. The analysis was stratified by age and injury severity (ISS<or=8=mild, ISS 9-14=moderate, ISS>or=15=severe) through medians, graphs and compared through analysis of covariance. Data for 18,135 children were analysed. Those with TBI had a higher mortality rate (17.2%) and were more severely injured. No difference was seen between the two groups in the SBP of severely injured children (p=0.09) who were almost all hypertensive compared to APLS "norms". Further analysis revealed a significant difference in the PR of severely injured children (p<0.001), attributed to children <9 years of age with brain injuries showing lower heart rates than those with extracranial injuries, though all still within the normal range for their age. Although...Continue Reading

References

Aug 1, 1990·The Journal of Trauma·I D AndersonM H Irving
Sep 1, 1983·Journal of Neurosurgery·G L CliftonR G Grossman
Mar 1, 1995·Journal of Accident & Emergency Medicine·R A LittleK Mackway-Jones
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Mar 24, 2009·Archives of Disease in Childhood. Education and Practice Edition·J BayreutherE Dykes
Mar 24, 2009·The Mount Sinai Journal of Medicine, New York·Mark W Greve, Brian J Zink

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Citations

Oct 1, 2013·Pediatric Emergency Care·Jeremie RousseauxFrancis Leclerc
Dec 12, 2012·Anaesthesia·R J McDougall
Jun 23, 2020·Journal of Healthcare Engineering·Christopher UmsteadKelly Mitchell

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