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Pediatric Head Injury: The Incidence of Multiple Injuries

Pediatric Head Injury: The Incidence of Multiple Injuries
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摘要 Objectives: Concomitant injuries play an important role when it comes to clinical management of traumatic brain injury (TBI). We examined the incidence of concomitant injuries and their relevance with respect to hospitalization. Methods: Children aged between 0 - 18 years hospitalized for treatment of TBI (ICD 10;S06.0 - 9) during 2010-2011 were included. The data relating to concomitant injuries and the course of treatment were evaluated. Statistical analysis included multivariate regressions at a level of significance of p ≤ 0.05. Results: 794 children were treated for head injury in our hospital. Head injury with other associated injuries had been sustained by 158 (19.9%) children. The face and the extremities were the areas of the body most often affected (p = 0.001). Boys represent the majority within the cohort of multiple injured children (p = 0.0001). The older the child, the higher the percentage of children with concomitant injuries (r = 0.27;p = 0.034). There was a significant correlation between the severity of the head injury and the occurrence of concomitant injuries (r = 0.19;p = 0.046). Children with concomitant injuries were found to suffer significantly more falls (N = 82;51.9%) than road traffic accidents (N = 68;43%) (p = 0.0001). A comparison of different variables revealed that age (7 to 10 years), severity of head injury (mild TBI), and trauma mechanism (fall) were most influential (KB = ?1.55;p = 0.023) for concomitant injuries. Children with concomitant injuries have a significant longer stay in hospital than those without: mean stay 2.5 to 4.5 days (p = 0.0001). Conclusion: Concomitant injuries are hints for more severe head injuries and children should be examined with special care. Objectives: Concomitant injuries play an important role when it comes to clinical management of traumatic brain injury (TBI). We examined the incidence of concomitant injuries and their relevance with respect to hospitalization. Methods: Children aged between 0 - 18 years hospitalized for treatment of TBI (ICD 10;S06.0 - 9) during 2010-2011 were included. The data relating to concomitant injuries and the course of treatment were evaluated. Statistical analysis included multivariate regressions at a level of significance of p ≤ 0.05. Results: 794 children were treated for head injury in our hospital. Head injury with other associated injuries had been sustained by 158 (19.9%) children. The face and the extremities were the areas of the body most often affected (p = 0.001). Boys represent the majority within the cohort of multiple injured children (p = 0.0001). The older the child, the higher the percentage of children with concomitant injuries (r = 0.27;p = 0.034). There was a significant correlation between the severity of the head injury and the occurrence of concomitant injuries (r = 0.19;p = 0.046). Children with concomitant injuries were found to suffer significantly more falls (N = 82;51.9%) than road traffic accidents (N = 68;43%) (p = 0.0001). A comparison of different variables revealed that age (7 to 10 years), severity of head injury (mild TBI), and trauma mechanism (fall) were most influential (KB = ?1.55;p = 0.023) for concomitant injuries. Children with concomitant injuries have a significant longer stay in hospital than those without: mean stay 2.5 to 4.5 days (p = 0.0001). Conclusion: Concomitant injuries are hints for more severe head injuries and children should be examined with special care.
作者 Thomas Kapapa Melanie Kapapa Carsten Posovszky Joachim Gülke Ralph König Dieter Woischneck Christian Rainer Wirtz Andrej Pala Thomas Kapapa;Melanie Kapapa;Carsten Posovszky;Joachim Gülke;Ralph König;Dieter Woischneck;Christian Rainer Wirtz;Andrej Pala(Neurochirurgische Klinik, Universitatsklinikum Ulm, Ulm, Germany;Sektion Kinderchirurgie, Universitatsklinikum Ulm, Ulm, Germany;Klinik für Kinder-und Jugendmedizin, Universitatsklinikum Ulm, Ulm, Germany;Klinik für Unfall-, Hand-und Plastische und Wiederherstellungschirurgie, Universitatsklinikum Ulm, Ulm, Germany;Neurochirurgische Klinik, Klinikum Landshut, Landshut, Germany)
出处 《Journal of Behavioral and Brain Science》 2016年第6期254-267,共14页 行为与脑科学期刊(英文)
关键词 Isolated Traumatic Brain Injury Concomitant Injury Facial Injury Length of Hospitalization Isolated Traumatic Brain Injury Concomitant Injury Facial Injury Length of Hospitalization
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