Isolated traumatic head injury in children: Analysis of 276 observations

Isolated traumatic head injury in children: Analysis of 276 observations

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Background : To determine predictive factors of mortality among children after isolated traumatic brain injury.Materials and Methods : In this retrospective study, we here included all consecutive children with isolated traumatic brain injury admitted to the 22-bed intensive care unit (ICU) of Habib Bourguiba University Hospital (Sfax, Tunisia).Basic demographic, clinical, biochemical, and radiological data were recorded on admission and during ICU stay.Results : There were 276 patients with 196 boys (71%) and 80 girls, with a mean age of 6.7 ± 3.

8 years.The main cause of trauma was road traffic accident (58.3%).Mean Glasgow Coma Scale score was 8 ± 2, Mean Injury Severity Score (ISS) was 23.3 ± 5.

9, Mean Pediatric Trauma Score (PTS) was 4.8 ± 2.3, and Mean Pediatric Risk of Mortality (PRISM) was 10.8 ± 8.A total of 259 children required mechanical ventilation.

Forty-eight children (17.4%) died.Multivariate analysis olea europaea montra showed that factors associated with a poor prognosis were PRISM > 24 (OR: 10.98), neurovegetative disorder (OR: 7.1), meningeal hemorrhage (OR: 2.

74), and lesion type VI according to Marshall tomographic grading (OR: 13.26).Conclusion : In Tunisia, head injury is a frequent cause of hospital admission and is most often due to road traffic injuries.Short-term prognosis is influenced by demographic, clinical, radiological, and biochemical factors.The need to put preventive measures in place is underscored.