Mortality And Morbidity of Severe Traumatic Brain Injuries; A Pediatric Intensive Care Unit Experience over 15 Years

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Hon Kam Lun; Huang Siwei; Poon Wai Sang; Cheung Hon Ming; Ip Patrick; Zee Benny

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Journal Paper

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Journal: Bulletin of Emergency And Trauma Year:2019 | Volume:7 | Issue:3 Page(s): 256-262

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Title

Mortality And Morbidity of Severe Traumatic Brain Injuries; A Pediatric Intensive Care Unit Experience over 15 Years

Author(s)

Keywords

Mortality

Length of Stay

PICU

Traumatic Brain injury

Falls

Road traffic injury

Abstract

Objective: To determine the Mortality, morbidity, types of intracranial hemorrhages, and factors associated with Length of Stay (LOS) associated with accidental Traumatic Brain injury (TBI) at a pediatric intensive care unit (PICU) of a regional trauma center in an Asian city. Methods: This study is a retrospective review of types of head injury, Mortality and morbidity demographics of patients admitted to a PICU with TBI. All patients with accidental TBI were included, namely Road traffic injury (RTI) and fall, and their demographics compared. Non-accidental injuries (NAI) were excluded. Results: 95 children (78% males) were admitted to a PICU with RTI or Falls from 2002 to 2017. They accounted for 3. 7% of PICU admissions. Comparing with Falls, victims of RTI were older (p<0. 001) and more likely to suffer from skull fracture (p=0. 017). There were 4 deaths with Falls (6. 8%) but none with RTI. Subarachnoid hemorrhages, extradural hemorrhages, the use of mechanical ventilation, inotropes and neurological supports were associated with longer LOS in PICU in these injuries (p<0. 001). Conclusion: A longer PICU LOS is associated with extradural and subarachnoid hemorrhages, usage of inotropes, mechanical ventilation and neurological supports in Falls and RTI. Three-quarters of victims are males. Preventive health education should be especially directed to boys to reduce severe TBI in this Asian city.

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APA: Copy

Hon, Kam Lun, Huang, Siwei, Poon, Wai Sang, Cheung, Hon Ming, Ip, Patrick, & Zee, Benny. (2019). Mortality And Morbidity of Severe Traumatic Brain Injuries; A Pediatric Intensive Care Unit Experience over 15 Years. BULLETIN OF EMERGENCY AND TRAUMA BEAT, 7(3), 256-262. SID. https://sid.ir/paper/335183/en

Vancouver: Copy

Hon Kam Lun, Huang Siwei, Poon Wai Sang, Cheung Hon Ming, Ip Patrick, Zee Benny. Mortality And Morbidity of Severe Traumatic Brain Injuries; A Pediatric Intensive Care Unit Experience over 15 Years. BULLETIN OF EMERGENCY AND TRAUMA BEAT[Internet]. 2019;7(3):256-262. Available from: https://sid.ir/paper/335183/en

IEEE: Copy

Kam Lun Hon, Siwei Huang, Wai Sang Poon, Hon Ming Cheung, Patrick Ip, and Benny Zee, “Mortality And Morbidity of Severe Traumatic Brain Injuries; A Pediatric Intensive Care Unit Experience over 15 Years,” BULLETIN OF EMERGENCY AND TRAUMA BEAT, vol. 7, no. 3, pp. 256–262, 2019, [Online]. Available: https://sid.ir/paper/335183/en

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