Linear nondisplaced skull fractures in children: who should be observed or admitted?

Journal of Neurosurgery. Pediatrics
Eliel N ArreyDavid I Sandberg

Abstract

In this study the authors reviewed clinical management and outcomes in a large series of children with isolated linear nondisplaced skull fractures (NDSFs). Factors associated with hospitalization of these patients and costs of management were also reviewed. After institutional review board approval, the authors retrospectively reviewed clinical records and imaging studies for patients between the ages of 0 and 16 years who were evaluated for NDSFs at a single children's hospital between January 2009 and December 2013. Patients were excluded if the fracture was open or comminuted. Additional exclusion criteria included intracranial hemorrhage, more than 1 skull fracture, or pneumocephalus. Three hundred twenty-six patients met inclusion criteria. The median patient age was 19 months (range 2 weeks to 15 years). One hundred ninety-three patients (59%) were male and 133 (41%) were female. One hundred eighty-four patients (56%) were placed under 23-hour observation, 87 (27%) were admitted to the hospital, and 55 patients (17%) were discharged from the emergency department. Two hundred seventy-eight patients (85%) arrived by ambulance, 36 (11%) arrived by car, and 12 (4%) were airlifted by helicopter. Two hundred fifty-seven patien...Continue Reading

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Citations

Jul 23, 2016·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Adi Reuveni-SalzmanMony Benifla
Nov 2, 2016·Journal of Neurosurgery. Pediatrics·Aditya VedantamAndrew Jea
Nov 12, 2016·Anales de pediatría : publicación oficial de la Asociación Española de Pediatría (A.E.P.)·David Muñoz-SantanachCarles Luaces Cubells
Jun 30, 2018·Journal of Neurosurgery. Pediatrics·Charles E MackelSteven W Hwang
Mar 12, 2019·Pediatric Emergency Care·Katelyn DonaldsonSusan R Durham
Sep 19, 2017·ANZ Journal of Surgery·Krishna TallapragadaMark Dexter
Jan 5, 2017·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Jonathan N SellinAndrew Jea
Jan 24, 2017·Neurologia Medico-chirurgica·Takashi ArakiAkio Morita

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