Paediatric Traumatic Brain Injury: a Two-year Descriptive Study
Refereed conference paper presented and published in conference proceedings


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摘要Objective:
To describe the epidemiological and clinical characteristics of paediatric patients with traumatic brain injury (TBI) in a hospital setting.

Methods:
Patients <18 years admitted through the resuscitation room of Prince of Wales Hospital, Hong Kong, between 2014 and 2015 with admission Abbreviated Injury Scale head and neck score ≥2 were included. Demographics, cause of injury, medical history, clinical evaluations, and details of cranial surgery were collected through the computerised medical system. Survival rates and Glasgow Outcome Scale scores were assessed at 30 days after TBI.

Results:
Of 750 paediatric patients with TBI, 69 (9.2%) patients with a mean age of 7.8 ± 6.0 years were included. Infants, toddlers and preschoolers (age ≤5 years) accounted for 40.6% of the patients, followed by teenagers (age 12-17 years; 33.3%). In all, 94.2% of patients had a good medical history. The TBIs were most often caused by low-level falls (52.5%), bicycle-related injuries (24.6%), and pedestrian injuries (13.0%). Mild TBI (Glasgow Coma Scale [GCS] score 13-15) accounted for 91.3% of the patients with one moderate TBI (GCS score 9-12) and five severe TBIs(GCS score 3-8). Eight (11.6%) patients underwent cranial surgery (burr hole for intracranial pressure monitoring, craniotomy, or craniectomy). Eight patients subsequently developed epidural haematoma; five patients with severe TBI and three with mild TBI. Four of them were admitted for bicycle-related injuries, two for pedestrian injuries, and two for low-level falls. Seven of them achieved a good recovery (defined by Glasgow Outcome Scale); the other with severe disability was transferred for decompression and developed post-TBI epilepsy after cranial surgery. Thirty-day mortality was zero; 67 (97.1%) patients achieved good recovery and two (2.9%) were severely disabled.

Conclusions:
In paediatric patients with TBI, mild TBI is most common, with low-level falls as the main injury mechanism. The majority of paediatric patients with TBI who underwent cranial surgery achieve good recovery. This suggests the importance of a management protocol including liberal interval computed tomography and timely surgery.
出版社接受日期01.04.2019
著者YZ HE, CP NG, HH YEUNG, Danny TM CHAN, George KC WONG, WS POON
會議名稱25th Annual Scientific Meeting of The Hong Kong Neurosurgical Society
會議開始日07.12.2018
會議完結日08.12.2018
會議地點Hong Kong
會議國家/地區香港
會議論文集題名Hong Kong Medical Journal
出版年份2019
月份4
卷號25
期次2 (Supp 4)
出版社Hong Kong Academy of Medicine Press
出版地Hong Kong
頁次24 - 24
國際標準期刊號1024-2708
語言英式英語

上次更新時間 2020-23-07 於 15:31