Traumatic brain injury in children: 18 years of management.
Accidental Falls
/ statistics & numerical data
Accidents, Traffic
/ statistics & numerical data
Adolescent
Brain Injuries, Traumatic
/ diagnostic imaging
Child
Child, Preschool
Cote d'Ivoire
Craniocerebral Trauma
/ diagnostic imaging
Emergency Service, Hospital
/ statistics & numerical data
Female
Hospitalization
/ statistics & numerical data
Humans
Infant
Infant, Newborn
Magnetic Resonance Imaging
Male
Retrospective Studies
Tomography, X-Ray Computed
Brain injury
Ivory Coast
child
surgery
traumatic
Journal
The Pan African medical journal
ISSN: 1937-8688
Titre abrégé: Pan Afr Med J
Pays: Uganda
ID NLM: 101517926
Informations de publication
Date de publication:
2020
2020
Historique:
received:
08
05
2020
accepted:
26
05
2020
entrez:
8
2
2021
pubmed:
9
2
2021
medline:
5
3
2021
Statut:
epublish
Résumé
Traumatic brain injury in children is a common cause of emergency department admission to our institution. The aim was to summarize the management of all head injuries in children. This was a retrospective, descriptive single center study performed in the Neurosurgery Department, University Hospital Center, Yopougon-Abidjan, Ivory Coast from January 2000 to December 2017. We included all patients less than 16-years-old admitted to the emergency department and all admitted in neurosurgery department for a traumatic brain injury with a cerebral tomodensitometry and/or a magnetic resonance imaging. 292 patients were admitted in neurosurgery department during the study period. The average age of our patients was 7.8 ± 0.80 years with a male predominance (64%). Road accidents were the main causes (78.7%) followed by falls. Brain trauma was mild in 53.8% of cases, moderate in 36.8% and severe in 9.4% of cases. Initial loss of consciousness and headache were the main reasons for admission to the emergency room after the injury with a proportion of 87.6%. The oedemato-haemorrhagic contusion was the most frequent lesion found in our patients with a frequency of 33.9%. The surgery was performed in 36.9% of cases. The overall mortality of patients in the study remains high with a proportion of 13.18%. Traumatic brain injuries in children had a high mortality rate in our practice. Specialized centers should be developed to optimize their care.
Identifiants
pubmed: 33552353
doi: 10.11604/pamj.2020.37.235.23400
pii: PAMJ-37-235
pmc: PMC7847206
doi:
Types de publication
Case Reports
Langues
eng
Sous-ensembles de citation
IM
Pagination
235Informations de copyright
Copyright: Romuald Kouitcheu et al.
Déclaration de conflit d'intérêts
The authors declare no competing interests.
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