title: Epidemiology and treatment outcome of head injury in children: A prospective study.
abstract: CONCLUSIONS
  Head injury in children is a major concern all over the world. The increasing level of poverty in the world is exposing more children to trauma situations. The future consequences of trauma in these children are enormous, hence prevention they say, is better than cure.
  
  
  OBJECTIVE
  The study was designed to determine the etiological pattern, age group affectation and treatment outcome in children managed for head injury in our center.
  
  
  METHODS
  It was a prospective, descriptive and cross-sectional study of children with head injuries managed in our center from July 2010 to December 2013. Data were collected using structured proforma that was part of our prospective Data Bank approved by our hospital Research and Ethics Committee. Data were collected in accident and emergency unit, Intensive Care Unit, wards and out-patient clinic. The data was analyzed using Epi Info 7 software.
  
  
  RESULTS
  Total of 76 children managed by the unit and followed-up to a minimum of 3 months qualified for the study. There were 42 males. The age ranged from 7 months to 18 years with a mean of 8.66 years. There were 30 adolescent/teenagers. Road traffic accident formed 63.15%. Pedestrian accident was more among preschool and school children. Thirty-seven patients had mild head injury. Sixty-six patients were managed conservatively. The commonest posttraumatic effect was seizure (15.79%). Good functional outcome (≥4) was seen in 92.1%. Mode of accident and severity of injury affected the outcome.
  
  
  CONCLUSIONS
  The etiologies of traumatic brain injury, from our study, were age dependent with falls commonest in toddlers and pedestrian accident commonest in pre-school and school ages. The outcome of treatment was related to severity of injury.
authors.affiliation: Division of Neurosurgery, Department of Surgery, University of Calabar Teaching Hospital, Calabar, Nigeria.
authors.forename: M O N
authors.initials: MO
authors.lastname: Nnadi
authors.affiliation: Neurosurgical Unit, Department of Surgery, Lagos University Teaching Hospital, Idi-Araba, Lagos, Nigeria.
authors.forename: O B
authors.initials: OB
authors.lastname: Bankole
authors.affiliation: General Surgery Unit, Department of Surgery, Niger Delta University Teaching Hospital, Okolobri, Bayelsa State, Nigeria.
authors.forename: B G
authors.initials: BG
authors.lastname: Fente
keywords: Children; epidemiology; head injury; outcome