Citation

Melo JR, Lemos-Júnior LP, Reis RC, Araújo AO, Menezes CW, Santos GP, Barreto BB, Menezes T, Oliveira-Filho J. Arq. Neuropsiquiatr. 2010; 68(3): 381-384.

Affiliation

Post-Graduation Program in Medicine and Health from Federal University of Bahia (PPgMS-UFBA), Salvador BA, Brazil. robertotude@gmail.com

Copyright

(Copyright © 2010, Associacao Arquivos De Neuro-Psiquitria)

DOI

unavailable

PMID

20602040

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 + or - 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.

Language: en