TY - JOUR PY - 2009// TI - Severe head injury among children: Prognostic factors and outcome JO - Injury A1 - Bahloul, M. A1 - Hamida, Chokri Ben A1 - Chelly, Hedi A1 - Chaari, Adel A1 - Kallel, Hatem A1 - Dammak, Hassen A1 - Rekik, Noureddine A1 - Bahloul, Kamel A1 - Mahfoudh, Kheireddine Ben A1 - Hachicha, Mongia A1 - Bouaziz, Mounir SP - 535 EP - 540 VL - 40 IS - 5 N2 - AIM: To determine predictive factors of mortality among children after traumatic brain injury. METHODS: A retrospective study over 8 years of 222 children with severe head injury (Glasgow Coma Scale score=8) glucose serum and mydriasis, bilateral or haemorrhage meningeal shock of presence PRISM, ISS high admission, on PTS low that showed analysis Univariate died. (24.3%) children 54 -8.5; 14.3+ was (PRISM) Mortality Risk Paediatric mean -2.1 3.7+ (PTS) Score Trauma -6.9, 28.2+ (ISS) Severity Injury -1.5, 6+ score Scale Coma Glasgow Mean (75.7%). accident traffic road trauma cause main The years. -3.8 7.54+ age with girls, 59 (73.4%) boys 163 included study RESULTS: stay. unit care intensive during admission recorded were data radiological biological clinical, demographic, Basic Tunisia). (Sfax, hospital university a to admitted>10mmoll(-1) were associated with mortality rate. Multivariate analysis showed that factors associated with a poor prognosis were PRISM>20 and bilateral mydriasis on admission. CONCLUSIONS: In Tunisia, head injury is a frequent cause of hospital admission and is most often due to road traffic accidents. Short-term prognosis is poor, with a high mortality rate (24.3%), and is influenced by demographic, clinical, radiological and biological factors.
Language: en
LA - en SN - 0020-1383 UR - http://dx.doi.org/10.1016/j.injury.2008.04.018 ID - ref1 ER -