| [Severe pediatric head injuries (I). Epidemiology, clinical manifestations and course]. | |
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MedLine Citation:
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PMID: 21496963 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To describe the epidemiology, clinical manifestations and evolutive characteristics of pediatric patients with severe head injury (SHI). MATERIAL AND METHOD: A review was made of the patients admitted to the pediatric intensive care unit (PICU) with SHI between July 1983 and December 2009. RESULTS: Of the 389 patients with head injuries admitted to the PICU during the study period, 174 (45%) presented SHI. The mean age in this group was of 67±9 months, with a Glasgow Coma Score (GCS) of 5.5±1.8 and a PRISM score of 10.7±6.7. The most frequent etiology of SHI was traffic accidents (56%), though these have decreased significantly in the last decade (58.5% vs 45.3%; P<.001). Twenty-one percent of the patients required evacuation of the lesions detected by computed tomography (CT), and 39% presented severe diffuse encephalic injury (DEI). Seventy-nine percent of the patients in whom intracranial pressure (ICP) was monitored presented intracranial hypertension. Sequelae of clinical relevance were recorded in 59 patients (39%), and proved serious in 64% of the cases. The mortality rate in this patient series was 24.7%. Intracranial hypertension decreased significantly in the last decade (88% vs 54%; P<.05), and clinical recovery has improved (23.3% vs 63.1%; P<.001). CONCLUSIONS: a) The incidence of traffic accidents has decreased in the last decade in the studied population; b) patients with SHI in which ICP was monitored showed a high incidence of intracranial hypertension; c) morbidity-mortality among pediatric patients with SHI has decreased over the course of the study period. |
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Authors:
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J M López Álvarez; M E Valerón Lemaur; O Pérez Quevedo; J M Limiñana Cañal; A Jiménez Bravo de Laguna; E Consuegra Llapurt; A Morón Saén de Casas; R González Jorge |
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Publication Detail:
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Type: English Abstract; Journal Article Date: 2011-04-14 |
Journal Detail:
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Title: Medicina intensiva / Sociedad Española de Medicina Intensiva y Unidades Coronarias Volume: 35 ISSN: 1578-6749 ISO Abbreviation: Med Intensiva Publication Date: 2011 Aug-Sep |
Date Detail:
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Created Date: 2011-07-15 Completed Date: 2011-12-19 Revised Date: 2012-01-18 |
Medline Journal Info:
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Nlm Unique ID: 9207689 Medline TA: Med Intensiva Country: Spain |
Other Details:
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Languages: spa Pagination: 331-6 Citation Subset: IM |
Copyright Information:
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Copyright © 2010 Elsevier España, S.L. y SEMICYUC. All rights reserved. |
Affiliation:
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Unidad de Medicina Intensiva Pediátrica, Complejo Hospitalario Universitario Insular Materno-Infantil de Canarias, Las Palmas de Gran Canaria, España. jmloal@hotmail.com |
Vernacular Title:
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Traumatismo craneoencefálico pediátrico grave (I). Epidemiología, clínica y evolución. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Child Child, Preschool Craniocerebral Trauma* / diagnosis, epidemiology, etiology Female Humans Injury Severity Score Male Retrospective Studies |
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