Analysis of Various Prognostic Factors in Paediatric Head Trauma
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 1
Abstract
Background: The outcome in children with traumatic brain injury is distinctive because of the different biophysical properties of the skull and brain, and their reaction to injury. Methods: In this prospective study of 403 children with traumatic brain injury, managed over a period of two years, at SKIMS, the factors influencing outcome were analysed . Results: Out of 403 children 252(63%) were males and 151(37.75%) were females. Most of patients 161/403(40%) were under 5 years of age. Fall was most common mode of injury in 228/403(56.60%) followed by Road traffic accidents.229/403(57.30%) patients presented with GCS 13-15, 122/403(29.80%) with GCS OF 9-12 and 52/403(13%) with GCS of 8 and less. 330/403(81.9%) were found normal on follow up, 41/403(10.17%) has disability, 9/403(2.2%) remained in vegetative state and 23/403(5.7%) died during hospital stay. Conclussion: Fall was most common mode of injury followed by Road traffic accident. Age, sex, mode of trauma does not have significance in terms of outcome. The various prognostic factors associated with poor outcome were low GCS, Abnormal papillary size and reaction, Midline shift on CT scan.
Authors and Affiliations
Muzefer Ahmad Ahanger, Mudasir Habib, Bilal Ahmad Wagay, Tarooq Ahmad Reshi, Mohammad Omar Shah, Farooq Ahmad Andarbi
Keywords
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- EP ID EP590325
- DOI 10.9790/0853-1601088185
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