@article{ref1,
title="Mortality and morbidity of severe traumatic brain injuries; a pediatric intensive care unit experience over 15 years",
journal="Bulletin of emergency and trauma",
year="2019",
author="Hon, Kam Lun and Huang, Siwei and Poon, Wai Sang and Cheung, Hon Ming and Ip, Patrick and Zee, Benny",
volume="7",
number="3",
pages="256-262",
abstract="OBJECTIVE: To determine the mortality, morbidity, types of intracranial hemorrhages, and factors associated with length of stay (LOS) associated with accidental traumatic brain injury (TBI) at a pediatric intensive care unit (PICU) of a regional trauma center in an Asian city. <br><br>METHODS: This study is a retrospective review of types of head injury, mortality and morbidity demographics of patients admitted to a PICU with TBI. All patients with accidental TBI were included, namely road traffic injury (RTI) and fall, and their demographics compared. Non-accidental injuries (NAI) were excluded. <br><br>RESULTS: 95 children (78% males) were admitted to a PICU with RTI or falls from 2002 to 2017. They accounted for 3.7% of PICU admissions. Comparing with falls, victims of RTI were older (<i>p</i><0.001) and more likely to suffer from skull fracture (<i>p</i>=0.017). There were 4 deaths with falls (6.8%) but none with RTI. Subarachnoid hemorrhages, extradural hemorrhages, the use of mechanical ventilation, inotropes and neurological supports were associated with longer LOS in PICU in these injuries (<i>p</i><0.001). <br><br>CONCLUSION: A longer PICU LOS is associated with extradural and subarachnoid hemorrhages, usage of inotropes, mechanical ventilation and neurological supports in falls and RTI. Three-quarters of victims are males. Preventive health education should be especially directed to boys to reduce severe TBI in this Asian city.<p /> <p>Language: en</p>",
language="en",
issn="2322-2522",
doi="10.29252/beat-070308",
url="http://dx.doi.org/10.29252/beat-070308"
}