Factors affecting head trauma in children

Vikrant V. K.; Gursev Sandlas; Shalika Jayaswal; H. Shah

doi:10.18203/2349-2902.isj20160221

Authors

Vikrant V. K. Department Of Paediatric Surgery, T.N.M.C & B.Y.L. Nair Hospital, Mumbai, Maharashtra 400008, India
Gursev Sandlas Department Of Paediatric Surgery, T.N.M.C & B.Y.L. Nair Hospital, Mumbai, Maharashtra 400008, India
Shalika Jayaswal Department Of Paediatric Surgery, T.N.M.C & B.Y.L. Nair Hospital, Mumbai, Maharashtra 400008, India
H. Shah Department Of Paediatric Surgery, T.N.M.C & B.Y.L. Nair Hospital, Mumbai, Maharashtra 400008, India

DOI:

https://doi.org/10.18203/2349-2902.isj20160221

Keywords:

Head injury, Children

Abstract

Background: To study the epidemiological factors of head trauma in paediatric patients at a tertiary care centre.

Methods: 60 consecutive admitted patients of head trauma were studied and analysed as per set proforma. The study included details pertaining to time since injury, average duration of stay, age distribution, sex distribution, GCS at presentation, mode of injury, associated injuries, CT findings, type of management and outcome. The results were tabulated and analysed.

Results: The average time of presentation since injury was 3 hours, average duration of stay was 4 days, 1-5 years was the most commonly affected age group. GCS at presentation was 15 in most cases, fall from height was the most common mode of injury, Contused lacerated wounds were the commonest external injuries, parietal bone fracture was the most common CT scan finding, 96% improved with conservative management.

Conclusions: Head injury occurs commonly in preschool children due to fall from unprotected roof tops. The prognosis in majority of the cases is excellent.

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References

Sharma M, Lahoti BK, Khandelwal G, Mathur RK, Sharma SS, Laddha AJ. Epidemiological trends of pediatric trauma. A single-center study of 791 patients. Indian Assoc Pediatr Surg. 2011;16(3):88-92.

Head injury. Triage, assessment, investigation and early management of head injury in children, young people and adults. NICE clinical guideline. 176:issued. 2014.

Adesunkanmi AR, Oginni LM, Oyelami AO, Badru OS. Epidemiology of childhood Injury. J Trauma. 1998;44:506-12.

Ruangkanchansaasetr S. Childhood accidents. J Med Assoc Thai. 1989;72:144-50.

Kozik CA, Suntayakorn S, Vaughn DW, Suntayakorn C, Snitbhan R, Innis BL. Causes of death and unintentional injury among school children in Thailand. Southeast Asian J Trop Med Public Health. 1999;30:129-35.

Ong ME, Ooi SB, Manning PG. A review of 2,517 childhood injuries seen in Singapore emergency department in 1999- mechanism and injury prevention suggestions. Singapore Med J. 2003;44:12-9.

Verma S, Lal N, Lodha R, Murmu L. Childhood trauma profile at a tertiary care hospital in India. Indian Pediatr. 2009;46:168-71.

National Crime Records Bureau. Accidental deaths and suicides in India. Ministry of Home Affairs, New Delhi, Government of India. 2010.

Karbakhsh M, Zargar M, Zarei MR, Khaji A. Childhood injuries in Tehran: A review of 1281 cases. Turk J Pediatr. 2008;50:317-25.