Paediatric head injury admissions over a 10-year period in a regional neurosurgical unit

Traumatic brain injury is a leading cause of death and disability in childhood. A retrospective study of all paediatric head injuries admitted to the neurosurgical unit for the West of Scotland over a 10-year period was performed to assess the impact of the National Institute for Health and Clinical...

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Bibliographic Details
Published in:Scottish medical journal 2012-08, Vol.57 (3), p.152-156
Main Authors: Phang, I, Mathieson, C, Sexton, I, Forsyth, S, Brown, J, George, E J St
Format: Article
Language:English
Subjects:
Accidental Falls - mortality
Accidental Falls - statistics & numerical data
Accidents, Traffic - mortality
Accidents, Traffic - statistics & numerical data
Adolescent
Age Distribution
Alcoholic Intoxication - epidemiology
Brain Injuries - epidemiology
Brain Injuries - etiology
Brain Injuries - mortality
Child
Child, Preschool
Disabled Children - statistics & numerical data
Ethanol - blood
Female
Glasgow Coma Scale
Guidelines as Topic
Humans
Incidence
Infant
Injury Severity Score
Male
Patient Admission - statistics & numerical data
Retrospective Studies
Risk Factors
Scotland - epidemiology
Sex Distribution
Time Factors
Violence - statistics & numerical data
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Summary:Traumatic brain injury is a leading cause of death and disability in childhood. A retrospective study of all paediatric head injuries admitted to the neurosurgical unit for the West of Scotland over a 10-year period was performed to assess the impact of the National Institute for Health and Clinical Excellence head injury guidelines on the admission rate and to determine the associated risk factors, causes, severity and outcomes of these injuries. There were 564 admissions between 1998 and 2007. The median age at presentation was nine years and two months. There was no change in the admission rate, injury mechanism or severity of head injury admitted over the period studied. A relationship was observed between the Scottish Index of Multiple Deprivation Score and the incidence of head injury (P = 0.05). Alcohol was reported as a causative factor in only a small number of cases, and moderate to severe head injuries were more commonly identified as a result of road traffic accidents.
ISSN:0036-9330
2045-6441
DOI:10.1258/smj.2012.012021