@article{ref1,
title="Head injuries in children--clinical characteristics as prognostic factors",
journal="Harefuah",
year="1999",
author="Paret, G. and Ben Abraham, R. and Berman, S. and Vardi, A. and Harel, R. and Manisterski, Y. and Barzilay, Z.",
volume="136",
number="9",
pages="677-81, 755",
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.<p /><p>Language: he</p>",
language="he",
issn="0017-7768",
doi="",
url="http://dx.doi.org/"
}