Risk factors for mortality within first 24 hours of head injury

Immediate or instantaneous death following cranial trauma occurs due to unpreventable primary brain insults. However, death occurring within 24 hours of head injury can be averted by timely institution of the therapeutic measures that could prevent secondary brain insults. From the management point...

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Bibliographic Details
Published in:Indian journal of pediatrics 2002-07, Vol.69 (7), p.573-577
Main Authors: RATAN, Simmi K, PANDEY, Ravindra M, KULSRESHTHA, Rajiv, RATAN, John
Format: Article
Language:English
Subjects:
Biological and medical sciences
Child
Child, Preschool
Cohort Studies
Craniocerebral Trauma - mortality
Female
Humans
Infant
Injuries of the nervous system and the skull. Diseases due to physical agents
Logistic Models
Male
Medical sciences
Multiple Trauma - mortality
Retrospective Studies
Risk Factors
Time Factors
Trauma Severity Indices
Traumas. Diseases due to physical agents
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Summary:Immediate or instantaneous death following cranial trauma occurs due to unpreventable primary brain insults. However, death occurring within 24 hours of head injury can be averted by timely institution of the therapeutic measures that could prevent secondary brain insults. From the management point of view, this is the most important subset of all head injured patients. Therefore, it is important to study risk factors associated with such deaths. In a retrospective study undertaken at Trauma Center, Safdarjang Hospital, New Delhi, the demographic characteristics, neurological and radiological findings were studied for 100 head injured children admitted in the pediatric surgical ward, who later died after surviving the initial neurosurgical resuscitation. Death occurring within first 24 hours of head injury was defined as "early" death; and "late death", if it occurred thereafter. Bivariate analysis revealed the severity of head injury GCS
ISSN:0019-5456
0973-7693
DOI:10.1007/BF02722680