Abstract
Pediatric traumatic brain injury is the most common cause of death and a major cause of morbidity in children and young adults worldwide. Despite this, our understanding of epidemiological factors relating to this type of injury is incomplete. The objective of this study was to explore a variety of factors relating to these injuries including mechanism, timing of emergency response, prehospital management, radiological diagnosis, neurosurgical care, and final outcomes. A retrospective review of all pediatric traumas attending a single large, densely populated urban area within a 2-year period was undertaken, and all cases with significant pediatric traumatic brain injury, as defined by a computed tomography scan showing an intracranial injury, were included for further analysis. Various epidemiological and treatment factors were explored. One hundred sixteen patients fulfilled the inclusion criteria, and their injuries and management were explored further. A variety of key trends were identified. The most common mechanism of injury was pedestrian struck by car followed by falls from height. Males were injured 5 times more frequently than girls. A helicopter emergency trauma team attended 22% of the patients and intubated 11 in ...Continue Reading
References
Mar 1, 1988·Journal of Neurosurgery·T G LuerssenL F Marshall
Sep 27, 2003·Epilepsia·John Bruns, W Allen Hauser
Jul 29, 2005·Archives of Disease in Childhood·R C ParslowUNKNOWN Paediatric Intensive Care Society Study Group
Mar 2, 2006·The Journal of Trauma·Brian CelsoLewis Flint
Jun 24, 2006·Emergency Medicine Journal : EMJ·UNKNOWN UK Paediatric Brain Injury Study Group and the Paediatric Intensive Care Society Study GroupR C Parslow
Mar 24, 2009·Archives of Disease in Childhood. Education and Practice Edition·J BayreutherE Dykes
Apr 9, 2009·BMC Pediatrics·Janne Pearson, David H Stone
Jan 15, 2011·Annals of Surgery·Belinda J GabbePeter A Cameron
May 26, 2011·Emergency Medicine Journal : EMJ·Rosie Houston, Gale A Pearson
Nov 20, 2013·World Journal of Emergency Surgery : WJES·Alma RadosAndrew W Kirkpatrick
Dec 5, 2013·South African Medical Journal = Suid-Afrikaanse Tydskrif Vir Geneeskunde·Simpiwe SobuwaCorrie Uys
Dec 18, 2013·Prehospital and Disaster Medicine·Efstathios KaramanosDemetrios Demetriades
May 16, 2014·Brain Injury : [BI]·Sharon ShaklaiZeev Groswasser
Jul 20, 2014·British Journal of Anaesthesia·D LockeyG Davies
Dec 20, 2014·Neurosurgery·Andrew I R MaasUNKNOWN CENTER-TBI Participants and Investigators
Dec 30, 2014·The Journal of Trauma and Acute Care Surgery·Alastair PickeringJonathan Nicholl
Aug 10, 2015·Injury·Monica SethiSpiros G Frangos
Aug 11, 2015·The American Journal of Emergency Medicine·Todd GlassUNKNOWN Pediatric Emergency Care Applied Research Network (PECARN)
Aug 25, 2015·Archives of Disease in Childhood·P BurrowsA M Kemp
Sep 1, 2015·The Journal of Trauma and Acute Care Surgery·Kazuhide MatsushimaDemetrios Demetriades