title: [Head injuries in children--clinical characteristics as prognostic factors].
abstract: 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.
authors.affiliation: Dept. of Pediatric Intensive Care, Sheba Medical Center, Tel Hashomer.
authors.forename: G
authors.initials: G
authors.lastname: Paret
authors.forename: R
authors.initials: R
authors.lastname: Ben Abraham
authors.forename: S
authors.initials: S
authors.lastname: Berman
authors.forename: A
authors.initials: A
authors.lastname: Vardi
authors.forename: R
authors.initials: R
authors.lastname: Harel
authors.forename: Y
authors.initials: Y
authors.lastname: Manisterski
authors.forename: Z
authors.initials: Z
authors.lastname: Barzilay
mesh_terms: D000058:Accidental Falls; D000063:Accidents, Traffic; D000293:Adolescent; D001929:Brain Edema; D002543:Cerebral Hemorrhage; D002648:Child; D002675:Child, Preschool; D006259:Craniocerebral Trauma / Q000503:physiopathology* / Q000628:therapy*; D005260:Female; D015600:Glasgow Coma Scale; D006801:Humans; D007223:Infant; D008297:Male; D011379:Prognosis; D012189:Retrospective Studies; D016896:Treatment Outcome