Mortality And Morbidity of Severe Traumatic Brain Injuries; A Pediatric Intensive Care Unit Experience Over 15 Years.
Falls
Length of Stay
Mortality
PICU
Road traffic injury
Traumatic Brain injury
Journal
Bulletin of emergency and trauma
ISSN: 2322-2522
Titre abrégé: Bull Emerg Trauma
Pays: Iran
ID NLM: 101614018
Informations de publication
Date de publication:
Jul 2019
Jul 2019
Historique:
entrez:
9
8
2019
pubmed:
9
8
2019
medline:
9
8
2019
Statut:
ppublish
Résumé
To determine the mortality, morbidity, types of intracranial hemorrhages, and factors associated with length of stay (LOS) associated with accidental traumatic brain injury (TBI) at a pediatric intensive care unit (PICU) of a regional trauma center in an Asian city. This study is a retrospective review of types of head injury, mortality and morbidity demographics of patients admitted to a PICU with TBI. All patients with accidental TBI were included, namely road traffic injury (RTI) and fall, and their demographics compared. Non-accidental injuries (NAI) were excluded. 95 children (78% males) were admitted to a PICU with RTI or falls from 2002 to 2017. They accounted for 3.7% of PICU admissions. Comparing with falls, victims of RTI were older ( A longer PICU LOS is associated with extradural and subarachnoid hemorrhages, usage of inotropes, mechanical ventilation and neurological supports in falls and RTI. Three-quarters of victims are males. Preventive health education should be especially directed to boys to reduce severe TBI in this Asian city.
Identifiants
pubmed: 31392225
doi: 10.29252/beat-070308
pmc: PMC6681874
doi:
Types de publication
Journal Article
Langues
eng
Pagination
256-262Déclaration de conflit d'intérêts
None declared.
Références
Crit Care Med. 1999 May;27(5):887-92
pubmed: 10362409
Inj Prev. 2000 Mar;6(1):20-3
pubmed: 10728536
Crit Care Med. 2001 Mar;29(3):534-40
pubmed: 11373416
Soc Sci Med. 2005 Nov;61(9):1905-15
pubmed: 15927334
J Neurosurg Anesthesiol. 2006 Jan;18(1):5-10
pubmed: 16369134
Arch Phys Med Rehabil. 2006 Jan;87(1):57-62
pubmed: 16401439
Inj Prev. 2007 Feb;13(1):20-5
pubmed: 17296684
J Neurotrauma. 2007 Feb;24(2):329-37
pubmed: 17375997
Arch Surg. 2007 May;142(5):461-5; discussion 465-6
pubmed: 17515488
Accid Emerg Nurs. 2007 Oct;15(4):228-33
pubmed: 17920269
NeuroRehabilitation. 2007;22(5):341-53
pubmed: 18162698
Inj Prev. 2008 Feb;14(1):69
pubmed: 18245322
Alcohol Clin Exp Res. 2008 Nov;32(11):1969-75
pubmed: 18782339
J Crit Care. 2010 Mar;25(1):175.e7-12
pubmed: 19682841
Arch Phys Med Rehabil. 2010 Oct;91(10):1495-504
pubmed: 20875505
Adv Pediatr. 2010;57(1):33-62
pubmed: 21056734
Neurosurgery. 2010 Dec;67(6):1542-7
pubmed: 21107185
Hong Kong Med J. 2010 Dec;16(6):497-8
pubmed: 21135431
Neurocrit Care. 2012 Feb;16(1):95-101
pubmed: 21845490
Pediatrics. 2011 Oct;128(4):637-43
pubmed: 21930535
J Neurotrauma. 2012 Apr 10;29(6):1126-39
pubmed: 22220819
Arch Neurol. 2012 Jan;69(1):23-7
pubmed: 22232344
Int J Epidemiol. 1990 Mar;19(1):125-32
pubmed: 2351507
Int J Adolesc Med Health. 2015 Feb;27(1):19-24
pubmed: 24810557
Int J Endocrinol. 2015;2015:719476
pubmed: 26074963
J Neurosurg Pediatr. 2016 Jan;17(1):19-26
pubmed: 26451717
Zh Vopr Neirokhir Im N N Burdenko. 2016;80(1):98-106
pubmed: 27029336
Zh Vopr Neirokhir Im N N Burdenko. 2016;80(2):93-101
pubmed: 27070263
Arch Phys Med Rehabil. 2016 Dec;97(12):2068-2075
pubmed: 27373747
Int J Environ Res Public Health. 2016 Jul 16;13(7):
pubmed: 27438844
Ann R Coll Surg Engl. 2017 Jan;99(1):39-45
pubmed: 27490985
Neurosurgery. 2017 Jan 01;80(1):6-15
pubmed: 27654000
BMJ Qual Improv Rep. 2016 Nov 22;5(1):
pubmed: 27933158
BMJ Open. 2017 Feb 7;7(2):e013724
pubmed: 28174223
Brain Inj. 2017;31(3):396-400
pubmed: 28296528
J Emerg Med. 2017 Jul;53(1):18-29
pubmed: 28343797
Medicine (Baltimore). 2017 Jun;96(26):e7395
pubmed: 28658174
Pediatr Crit Care Med. 2019 Mar;20(3):252-258
pubmed: 30489486
J Emerg Trauma Shock. 2018 Oct-Dec;11(4):288-292
pubmed: 30568372
J Child Neurol. 2019 Jan 10;:883073818822359
pubmed: 30630377
Childs Nerv Syst. 2019 May;35(5):815-822
pubmed: 30826957
Pediatr Crit Care Med. 2019 Mar;20(3):269-279
pubmed: 30830015
Transfusion. 2019 Apr;59(S2):1529-1538
pubmed: 30980755
Arch Phys Med Rehabil. 1995 Sep;76(9):797-803
pubmed: 7668948
J Pediatr Psychol. 1998 Feb;23(1):33-43
pubmed: 9564127