title: Do children with Glasgow 13/14 could be identified as mild traumatic brain injury?
abstract: OBJECTIVE
  To identify in mild head injured children the major differences between those with a Glasgow Coma Scale (GCS) 15 and GCS 13/14.
  
  
  METHODS
  Cross-sectional study accomplished through information derived from medical records of mild head injured children presented in the emergency room of a Pediatric Trauma Centre level I, between May 2007 and May 2008.
  
  
  RESULTS
  1888 patients were included. The mean age was 7.6 + or - 5.4 years; 93.7% had GCS 15; among children with GCS 13/14, 46.2% (p<0.001) suffered multiple traumas and 52.1% (p<0.001) had abnormal cranial computed tomography (CCT) scan. In those with GCS 13/14, neurosurgery was performed in 6.7% and 9.2% (p=0.001) had neurological disabilities.
  
  
  CONCLUSIONS
  Those with GCS 13/14 had frequently association with multiple traumas, abnormalities in CCT scan, require of neurosurgical procedure and Intensive Care Unit admission. We must be cautious in classified children with GCS 13/14 as mild head trauma victims.
authors.affiliation: Post-Graduation Program in Medicine and Health from Federal University of Bahia (PPgMS-UFBA), Salvador BA, Brazil. robertotude@gmail.com
authors.forename: José Roberto Tude
authors.initials: JR
authors.lastname: Melo
authors.forename: Laudenor Pereira
authors.initials: LP
authors.lastname: Lemos-Júnior
authors.forename: Rodolfo Casimiro
authors.initials: RC
authors.lastname: Reis
authors.forename: Alex O
authors.initials: AO
authors.lastname: Araújo
authors.forename: Carlos W
authors.initials: CW
authors.lastname: Menezes
authors.forename: Gustavo P
authors.initials: GP
authors.lastname: Santos
authors.forename: Bruna B
authors.initials: BB
authors.lastname: Barreto
authors.forename: Thomaz
authors.initials: T
authors.lastname: Menezes
authors.forename: Jamary
authors.initials: J
authors.lastname: Oliveira-Filho
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D006259:Craniocerebral Trauma / Q000145:classification* / Q000000981:diagnostic imaging / Q000601:surgery; D003430:Cross-Sectional Studies; D005260:Female; D015600:Glasgow Coma Scale; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D014057:Tomography, X-Ray Computed