Head injuries in children--clinical characteristics as prognostic factors

G. Paret*, R. Ben Abraham, S. Berman, A. Vardi, R. Harel, Y. Manisterski, Z. Barzilay

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

An unselected series of 200 consecutive cases of major head trauma in children aged 6 months to 16 years, seen during 4 years, was studied. Injuries were due to road accidents (40%), falls (30.5%) and other causes (29.5%), and were assessed clinically and by cranial CT. On admission the Glasgow Coma Score ranged from 4.72-11.65 and in addition to pupillary responses and brain stem reflexes, was a significant predictor of outcome. Brain edema, midline shift, intracranial hemorrhage and also hyperglycemia, hypokalemia and coagulopathy, were associated with poor outcome. While 17% died, 53% were discharged in good functional condition. Early identification of clinical features related to prognosis can help the caring team provide maximal support for patient and family.

Original languageEnglish
Pages (from-to)677-681, 755
JournalHarefuah
Volume136
Issue number9
StatePublished - 2 May 1999
Externally publishedYes

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