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Abstract
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Problem considered
To survey on pediatric head injury admitted to our hospital to identify incidence, age, sex, mechanism and type of injury, associated other injuries, initial presentations, CT finding, management, length of hospital stay, outcome in the form of condition at discharge and outcome analysis using Glasgow Outcome Score.
METHODS
This is a retrospective study of all children ≤18 years admitted for head injury to our hospital during the period August-2013 to June-2014. A total of 247 pediatrics head injury patients in between the age of 0-18 years were admitted and treated In all cases age, sex, presenting symptoms, mechanism, type, severity, other associated injuries, management, duration of hospital stay, GOS etc are analyzed from the stored pediatrics master register, computerized discharge tickets, patients profiles, admission register, death register and bed head tickets.
RESULTS
Out of all patients there were a male preponderance (p < 0.001). The most common presenting feature was altered sensorium. The mean duration of hospitalization in our study is 4.0615 with 89.06% of patients staying <7 days (P value = <0.001). Most common mechanism of head injury in children was found as road traffic accident (p < 0.001). Most common type of injury was Extra Dural Hematoma and about 62% intracranial pathology shows no skull fracture. Mortality rate is low as compared to all head trauma victims.
CONCLUSION
Outcome of pediatric head injury depends on initial presentation. Early recognition and prompt management contributes to decrease mortality and disability. Younger males are at greater risk. Most injuries are mild to moderate in nature with high rate of good recovery.
Language: en |