Do children with Glasgow 13/14 could be identified as mild traumatic brain injury?

Abstract:

OBJECTIVE:To identify in mild head injured children the major differences between those with a Glasgow Coma Scale (GCS) 15 and GCS 13/14. METHOD:Cross-sectional study accomplished through information derived from medical records of mild head injured children presented in the emergency room of a Pediatric Trauma Centre level I, between May 2007 and May 2008. RESULTS:1888 patients were included. The mean age was 7.6 + or - 5.4 years; 93.7% had GCS 15; among children with GCS 13/14, 46.2% (p<0.001) suffered multiple traumas and 52.1% (p<0.001) had abnormal cranial computed tomography (CCT) scan. In those with GCS 13/14, neurosurgery was performed in 6.7% and 9.2% (p=0.001) had neurological disabilities. CONCLUSION:Those with GCS 13/14 had frequently association with multiple traumas, abnormalities in CCT scan, require of neurosurgical procedure and Intensive Care Unit admission. We must be cautious in classified children with GCS 13/14 as mild head trauma victims.

journal_name

Arq Neuropsiquiatr

authors

Melo JR,Lemos-Júnior LP,Reis RC,Araújo AO,Menezes CW,Santos GP,Barreto BB,Menezes T,Oliveira-Filho J

doi

10.1590/s0004-282x2010000300010

subject

Has Abstract

pub_date

2010-06-01 00:00:00

pages

381-4

issue

3

eissn

0004-282X

issn

1678-4227

pii

S0004-282X2010000300010

journal_volume

68

pub_type

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