Citation

Paret G, Ben Abraham R, Berman S, Vardi A, Harel R, Manisterski Y, Barzilay Z. Harefuah 1999; 136(9): 677-81, 755.

Affiliation

Dept. of Pediatric Intensive Care, Sheba Medical Center, Tel Hashomer.

Copyright

(Copyright © 1999, Israel Medical Association)

DOI

unavailable

PMID

10955086

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.

Language: he