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- W2069219414 abstract "To assess incidence of secondary brain insults of systemic origin (SBISOs) such as arterial hypotension, hypoxaemia, hypercarbia, and anaemia in severely head injured children; to assess their impact on mortality and morbidity in the short- and long-term.Prospective, open study covering a 24-month period.Seventy-one children, under 15 years of age, admitted to a trauma centre for severe brain injury.Analysis of SBISOs and outcome.Twenty-five children were admitted with SBISOs. The mortality rate was 37%. After hospitalization, 84% of the children with SBISOs vs 46% without SBISOs had severe disability (Glasgow outcome score = 1, 2 and 3). After 1 year, 20 out of the 45 children still alive were contacted. One of the four with SBISOs communicated a bad recovery. Fifteen children without SBISOs presented good recovery: GOS = 4-5, paediatric overall performance category (POPC scale) = 1-2.Hypotension was associated with significant increase in mortality (x 3.6) in children with severe head injury. The consequences were worse when anaemia was associated." @default.
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- W2069219414 date "1998-03-01" @default.
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- W2069219414 title "Agressions cérébrales secondaires d'origine systémique chez les enfants traumatisés craniocérébraux graves" @default.
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- W2069219414 doi "https://doi.org/10.1016/s0750-7658(98)80005-1" @default.
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