scholarly journals A death calls from unsafe heights. a study of factors influencing the outcome of surgically treated pediatric head trauma patients in baghdad

2019 ◽  
Vol 10 (3) ◽  
pp. 1997-2001
Author(s):  
Ghazwan Alwan Lafta ◽  
Ali Adnan Dolachee ◽  
Alyaa Khalid Al-Zubaidi ◽  
Samer S. Hoz
Keyword(s):  
Head Trauma ◽  
Functional Recovery ◽  
Pediatric Trauma ◽  
Common Mechanism ◽  
Trauma Patients ◽  
Cross Sectional ◽  
Coma Scale ◽  
Pediatric Head Trauma ◽  
Orthopedic Injuries ◽  
Trauma Score

Pediatric head injury accounts for a large number of admissions in emergency rooms, it is a major cause of morbidity and mortality in children over 1 year of age. The aim of this study is to assess the outcome of surgically treated pediatric patients with head trauma in Baghdad. Patients and methods : This prospective cross sectional study was conducted in neurosurgery hospital in Baghdad including fifty two patients of pediatric age group from 1 year to 14 years old with surgically operated head trauma, in the period from 1/10/2014 till 1/10/2015. All the patients were received; examined and managed properly and followed up till 6 months after surgery. The outcome was truly affected by the mechanism of injury (p=0.001), falls from heights was the most common mechanism and it was significantly related to mortality, it also increased the rate of disability, while it had no significance regarding a good functional recovery. There were associated orthopedic injuries which also affected the outcome significantly (p=0.01) increasing the mortality and disability. The outcome was truly affected by pediatric coma scale (p=0.001), functional recovery was increased with higher score and mortality increased with lower score, and disability increased in both severe and moderate scores. Pediatric trauma score had a significant effect on the outcome (p=0.001), in score (less than 0) it increased the mortality, in score(0-5) morbidity was increased. Falls from heights are the most common mechanism of pediatric head trauma and greatly affect the outcome. Concomitant orthopedic injuries are associated with poor outcome. pediatric coma scale, pediatric trauma score are significant tools in predicting outcome.

Aggressive Physiologic Monitoring of Pediatric Head Trauma Patients with Elevated Intracranial Pressure

1988 ◽  
Vol 14 (5) ◽  
pp. 241-249 ◽  
Author(s):  
Samuel S. Kasoff ◽  
Thomas A. Lansen ◽  
Donovan Holder ◽  
Joseph San Filippo
Keyword(s):  
Intracranial Pressure ◽  
Head Trauma ◽  
Trauma Patients ◽  
Physiologic Monitoring ◽  
Elevated Intracranial Pressure ◽  
Pediatric Head Trauma

scholarly journals Hyperglycemia in pediatric head trauma patients: a cross-sectional study

2009 ◽  
Vol 67 (3b) ◽  
pp. 804-806 ◽  
Author(s):  
José Roberto Tude Melo ◽  
Rodolfo Casimiro Reis ◽  
Laudenor Pereira Lemos-Júnior ◽  
Henrique Miguel Santos Coelho ◽  
Carlos Eduardo Romeu de Almeida ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Head Trauma ◽  
Cross Sectional Study ◽  
Cranial Computed Tomography ◽  
Trauma Patients ◽  
Severe Head Trauma ◽  
Sectional Study ◽  
Cross Sectional ◽  
Glucose Levels ◽  
Computed Tomography Scans

OBJECTIVE: To verify the prevalence of acute hyperglycemia in children with head trauma stratified by the Glasgow coma scale (GCS). METHOD: A prospective cross-sectional study carried out with information from medical records of pediatric patients presenting with head injury in the emergency room of a referral emergency hospital during a one year period. We considered the cut-off value of 150 mg/dL to define hyperglycemia. RESULTS: A total of 340 children were included and 60 (17.6%) had admission hyperglycemia. Hyperglycemia was present in 9% of mild head trauma cases; 30.4% of those with moderate head trauma and 49% of severe head trauma. We observed that among children with higher blood glucose levels, 85% had abnormal findings on cranial computed tomography scans. CONCLUSION: Hyperglycemia was more prevalent in patients with severe head trauma (GCS <8), regardless if they had or not multiple traumas and in children with abnormal findings on head computed tomography scans.

scholarly journals Impact of stress-induced hyperglycemia on the outcome of children with trauma: A cross-sectional analysis based on propensity score-matched population

2019 ◽  
Vol 9 (1) ◽  
Author(s):  
Yi-Wen Tsai ◽  
Shao-Chun Wu ◽  
Chun-Ying Huang ◽  
Shiun-Yuan Hsu ◽  
Hang-Tsung Liu ◽  
...  
Keyword(s):  
Propensity Score ◽  
Hospital Mortality ◽  
Injury Severity ◽  
Pediatric Trauma ◽  
Trauma Patients ◽  
Cross Sectional ◽  
Icu Admission ◽  
Significant Difference ◽  
History Of ◽  
Sectional Analysis

Abstract This was a retrospective study of pediatric trauma patients and were hospitalized in a level-1 trauma center from January 1, 2009 to December 31, 2016. Stress-induced hyperglycemia (SIH) was defined as a hyperglycemia level ≥200 mg/dL upon arrival at the emergency department without any history of diabetes or a hemoglobin A1c level ≥6.5% upon arrival or during the first month of admission. The results demonstrated that the patients with SIH (n = 36) had a significantly longer length of stay (LOS) in hospital (16.4 vs. 7.8 days, p = 0.002), higher rates of intensive care unit (ICU) admission (55.6% vs. 20.9%, p < 0.001), and higher in-hospital mortality rates (5.6% vs. 0.6%, p = 0.028) compared with those with non-diabetic normoglycemia (NDN). However, in the 24-pair well-balanced propensity score-matched patient populations, in which significant difference in sex, age, and injury severity score were eliminated, patient outcomes in terms of LOS in hospital, rate of ICU admission, and in-hospital mortality rate were not significantly different between the patients with SIH and NDN. The different baseline characteristics of the patients, particularly injury severity, may be associated with poorer outcomes in pediatric trauma patients with SIH compared with those with NDN. This study also indicated that, upon major trauma, the response of pediatric patients with SIH is different from that of adult patients.

Evaluation of Injury Severity: Review of the Most Commonly Used System for the Evaluation of Injury Severity in Traumatologic Patients

2003 ◽  
Vol 10 (3) ◽  
pp. 16-19 ◽  
Author(s):  
A Karlbauer ◽  
R Woidke ◽  
A Karlbauer ◽  
R Woidke
Keyword(s):  
Injury Severity Score ◽  
Severity Score ◽  
Injury Severity ◽  
Pediatric Trauma ◽  
Abbreviated Injury Scale ◽  
Coma Scale ◽  
Advantages And Disadvantages ◽  
Revised Trauma Score ◽  
Golden Standard ◽  
Trauma Score

The most commonly used systems for the evaluation of injury severity in traumatologic patients are presented: Glasgo Coma Scale, Mangled Extremity Severity Score, Revised Trauma Score, Abbreviated Injury Scale, Injury Severity Score, Pediatric Trauma Score. Their advantages and disadvantages are given. At present Injury Severity Score is considered to be a «Golden Standard.

scholarly journals Study of the characteristics and burden of pediatric trauma in low resource settings.

2020 ◽  
Vol 27 (09) ◽  
pp. 1958-1965
Author(s):  
Shafiq Ur Rehman ◽  
Yasir Makki ◽  
Saad Fazal ◽  
Hafiza Swaiba Afzal ◽  
Fareena Ishtiaq
Keyword(s):  
Pediatric Trauma ◽  
Age Groups ◽  
Penetrating Trauma ◽  
Cross Sectional Study ◽  
Common Type ◽  
Trauma Patients ◽  
Cross Sectional ◽  
Pattern Of Injury ◽  
Significant Burden ◽  
Type Of Injury

Objectives: Purpose of the study is to identify the characteristics and burden of pediatric trauma in a hospital with limited resources and to compare the results with published literature and to formulate the effective injury prevention strategies. Study Design: Prospective, Descriptive, Cross-sectional study. Setting: Department of Pediatric Surgery, DHQ Teaching Hospital Sahiwal. Period: January 2019 to December 2019. Material & Methods:  A total of 871 patients aged 12 years and below with a history of trauma were included. The patients were categorized into four age groups, 0-2 years, 3-5 years, 6-8 years, and 9-12 years. Data collected included, age, gender, area (rural/urban), type of injury, mechanism of injury, regional pattern of injury, any intervention required and final outcome. The data were compared in different age groups and both sexes. Results: Out of total 2609 admissions, 871(33.38%) patients were of trauma and burn. 699(80.3%) trauma patients and 172(19.7%) burn patients. The males were 595(67.9%) and females comprised 276(32.1%). Age ranged from 05 days to 12 years (mean5.07years). By age groups, distribution of patients was, 0-2years 201(23.1%), 3-5years 340(39.0%), 6-8years 213(24.5%), and 9-12years 117(13.4%). Blunt trauma was most common type of injury 688(95.56%) and penetrating trauma was 31(4.43%). Most common mechanisms of injury were, vehicle related incidents 380(54.4%) and fall 238(34.0%). The majority of injuries 432(61.8%), were seen in head, neck and face region. Scald was most common type of burn and seen in 125(14.4%) patients. Conclusion:  This study clearly shows that pediatric injuries and burn contribute a substantial proportion of all pediatric surgical admissions. Pediatric trauma including burn is a significant burden on health care system. Vehicle related incidents, fall injuries and scald burns are most common type of injuries.

scholarly journals Comparison of Emergency medicine physician’s decision and Pecarn scale suggestions on pediatric head trauma patients

2021 ◽  
Vol 28 (1) ◽  
pp. 121-127
Author(s):  
Gökhan Eyüpoğlu ◽  
Eren Gokdag ◽  
Mehmet Tatlı ◽  
Ozlem Guneysel
Keyword(s):  
Emergency Medicine ◽  
Head Trauma ◽  
Trauma Patients ◽  
Pediatric Head Trauma
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