Gunshot wounds in brains of children: Prognostic variables in mortality, course, and outcome

G. Paret, A. Barzilai, E. Lahat, Z. Feldman, G. Ohad, A. Vardi, R. Ben-Abraham, Z. Barzilay

Research output: Contribution to journalArticlepeer-review

Abstract

A retrospective study of 51 children presenting with craniocerebral gunshot lesions was carried out to identify predictors of outcome. The patients ranged in age from 2 months to 17 years, with a mean of 14.5 years. The outcome was good in 20 patients, and seven and four were moderately and severely disabled, respectively. Twenty patients died. Statistical analysis showed prognostic significance of the admission Glasgow Coma Score (GCS), computerized tomographic findings of intraventricular hemorrhage and midline shift, and metabolic abnormalities, including hypokalemia and hyperglycemia. These prognostic factors may have implications regarding counseling of families, utilization of resources, and organ transplantation.

Original languageEnglish
Pages (from-to)967-972
Number of pages6
JournalJournal of Neurotrauma
Volume15
Issue number11
DOIs
StatePublished - Nov 1998
Externally publishedYes

Keywords

  • Gunshot wound
  • Heat injury
  • Penetrating craniocerebral injury
  • Prognosis

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