Impact of elevated ICP on outcome after paediatric traumatic brain injury requiring intensive care.

Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery
Ann-Charlotte Falk

Abstract

Traumatic brain injury is an important cause of morbidity and mortality in children and adolescents. Moderate to severe brain injuries account for approximately 20 % of all brain injuries, and nearly 50 % of the patients experience neuropsychological sequelae due to the injury. The purposes of this study are, firstly, to describe intensive care management of children with a severe brain injury and, secondly, to study the impact of elevated intracranial pressure on outcome. A retrospective review of medical records was done. Sixty children were admitted for intensive care during the study period. Seventy-three percent of all children received neurosurgical interventions, 26 children received an intracranial pressure-monitoring device and 14 of those had an elevated intracranial pressure (ICP) >20 mmHg requiring ICP-targeted therapies. Eighty-eight percent of all children reported cognitive impairment at follow-up. No significant correlation was found between the King's Outcome Scale for Childhood Head Injury outcome groups and whether or not the children have had a neurosurgical intervention or were treated with ICP-targeted medical therapies. Children receiving rehabilitation after a brain injury during childhood make a moderat...Continue Reading

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Citations

Dec 9, 2017·Current Treatment Options in Pediatrics·Sherrill D CaprarolaMelania M Bembea

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brain injury after impact to the head is due to both immediate mechanical effects and delayed responses of neural tissues.