Head Trauma in Children, Part 1: Admission, Diagnostics, and Findings

The objective of this study is to describe and to determine the preclinical situation and early in-clinical situation, diagnostic findings, and factors influencing the outcome of severe head trauma in children. Records of 48 children (0-16 years) were analyzed during a 3-year interval. Correlations...

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Bibliographic Details
Published in:Journal of child neurology 2010-02, Vol.25 (2), p.146-156
Main Authors: Kapapa, Thomas, König, Kathrin, Pfister, Ulrike, Sasse, Michael, Woischneck, Dieter, Heissler, Hans, Rickels, Eckhard
Format: Article
Language:English
Subjects:
Adolescent
Blood Pressure
Child
Child, Preschool
Craniocerebral Trauma - diagnosis
Craniocerebral Trauma - epidemiology
Craniocerebral Trauma - therapy
Female
Humans
Infant
Infant, Newborn
Male
Prognosis
Reflex, Pupillary
Severity of Illness Index
Shock - diagnosis
Shock - therapy
Treatment Outcome
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Summary:The objective of this study is to describe and to determine the preclinical situation and early in-clinical situation, diagnostic findings, and factors influencing the outcome of severe head trauma in children. Records of 48 children (0-16 years) were analyzed during a 3-year interval. Correlations with the outcome (Glasgow Outcome Scale) were determined by focusing on different scales, clinical findings, biochemistry, and clinical course features. The initial shock index had a major relevance (P = .0089). Systolic blood pressure (P = .0002) and bradycardia (P = .035) were important factors. Assessing the severity of trauma according to the Glasgow Coma Score, the most accurate parameter for outcome is based on the detailed quality of ‘‘eye opening’’ (P = .0155). Pupillary motoricity at the accident site (P = .002) and emergency room (P = .0004) are strong predictors. Preclinical measurements of stabilization and oxygenation have the same impact as the in-clinical management.
ISSN:0883-0738
1708-8283
DOI:10.1177/0883073809332698