Do children with Glasgow 13/14 could be identified as mild traumatic brain injury?

Author:

Melo José Roberto Tude1,Lemos-Júnior Laudenor Pereira1,Reis Rodolfo Casimiro1,Araújo Alex O1,Menezes Carlos W1,Santos Gustavo P1,Barreto Bruna B1,Menezes Thomaz1,Oliveira-Filho Jamary1

Affiliation:

1. UFBA

Abstract

OBJECTIVE: To identify in mild head injured children the major differences between those with a Glasgow Coma Scale (GCS) 15 and GCS 13/14. METHOD: Cross-sectional study accomplished through information derived from medical records of mild head injured children presented in the emergency room of a Pediatric Trauma Centre level I, between May 2007 and May 2008. RESULTS: 1888 patients were included. The mean age was 7.6±5.4 years; 93.7% had GCS 15; among children with GCS 13/14, 46.2% (p<0.001) suffered multiple traumas and 52.1% (p<0.001) had abnormal cranial computed tomography (CCT) scan. In those with GCS 13/14, neurosurgery was performed in 6.7% and 9.2% (p=0.001) had neurological disabilities. CONCLUSION: Those with GCS 13/14 had frequently association with multiple traumas, abnormalities in CCT scan, require of neurosurgical procedure and Intensive Care Unit admission. We must be cautious in classified children with GCS 13/14 as mild head trauma victims.

Publisher

FapUNIFESP (SciELO)

Subject

Neurology,Clinical Neurology

Reference29 articles.

1. [Characteristics of the patients with head injury assisted at the Hospital das Clinicas of the Ribeirão Preto Medical School];Colli BO;Arq Neuropsiquiatr,1997

2. Head injury in the United Kingdom;Kay A;World J Surg,2001

3. [Morbidity and mortality due to traumatic brain injury in São Paulo City, Brazil, 1997];Koizumi MS;Arq Neuropsiquiatr,2000

4. Epidemiology of injuries: current trends and future challenges;MacKenzie EJ;Epidemiol Rev,2000

5. [Characteristics of patients with head injury at Salvador City (Bahia - Brazil)];Melo JR;Arq Neuropsiquiatr,2004

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3