@article{ref1,
title="The significance of skull fracture in mild head trauma differs between children and adults",
journal="Child's nervous system",
year="2005",
author="Muñoz-Sánchez, M. A. and Murillo-Cabezas, F. and Cayuela, A. and Flores-Cordero, J. M. and Rincón-Ferrari, M. D. and Amaya-Villar, R. and Fornelino, A.",
volume="21",
number="2",
pages="128-132",
abstract="OBJECTIVE: The objective was to determine whether the age of patients with mild head injury and skull fracture influences the level of risk for acute intracranial injuries. METHOD: A study was conducted of 156 patients with skull fracture, 60 children (aged <14 years) and 96 adults, detected among 5,097 consecutive patients with mild head injury (Glasgow Coma Scale [GCS] score of 15-14 points) arriving at the Emergency Department of a Level I University Hospital Trauma Center during 1998. Acute intracranial injuries were defined as traumatic brain injuries identified by cranial computed tomography scan, excluding pneumocephalus. RESULTS: Compared with the children, this risk of intracranial injury was 13 times greater in the adults aged 14-54 years and 16 times greater in the over-54-year-olds. Besides age over 14 years (p<0.0001), compound skull fracture (p<0.001), and a GCS score of 14 (p<0.001) were factors significantly associated with intracranial injury in the logistic regression analysis. CONCLUSIONS: Skull fracture in mild head injury implies a greater risk of intracranial injury in adults than in children.<p /><p>Language: en</p>",
language="en",
issn="0256-7040",
doi="10.1007/s00381-004-1036-x",
url="http://dx.doi.org/10.1007/s00381-004-1036-x"
}