TY  - JOUR
PY  - 1999//
TI  - Head injuries in children--clinical characteristics as prognostic factors
JO  - Harefuah
A1  - Paret, G.
A1  - Ben Abraham, R.
A1  - Berman, S.
A1  - Vardi, A.
A1  - Harel, R.
A1  - Manisterski, Y.
A1  - Barzilay, Z.
SP  - 677
EP  - 81, 755
VL  - 136
IS  - 9
N2  - 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> 
LA  - he
SN  - 0017-7768
UR  - http://dx.doi.org/
ID  - ref1
ER  -