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- W2395765318 abstract "Objective Paediatric traumatic brain injury (TBI) remains the leading cause of death in children aged >1 year. In the USA Trauma Bank, Haider found similar mortality for pedestrians and motor vehicle crashes (MVC), higher than falls, but four times the mortality for gunshot wounds. However, there are few European studies, data on outcome in survivors is limited and any relationship between mode of injury and CT findings has received little attention. Methods This was a retrospective review of all severe TBI admitted to a single European centre over 14 years. Demographics, mechanism of injury, and CT data were collected. Outcome was scored using the King's Outcome Scale for Children with Head Injury (KOSCHI)and logistic regression analysis with death as the outcome was conducted in 309 consecutive children Results 10 children were non-accidentally injured (NAI), 107 had fallen, 83 were pedestrians, 43 were in a MVC, 33 were riding a bike and 17 were struck by an object. CT scan was more likely to be normal after a fall (41%) compared with 29% of pedestrians, 26% of MVC victims and 8% of cyclists. Twenty-one (7%) died; mortality was lower (3%) in those who had fallen compared with rates for MVC (7%), pedestrians (10%) and cyclists (10%) and NAI (20%). Acute subdural haemorrage on initial CT was the most common finding associated with death (14%). Outcome in survivors was also related to mode of injury (p Conclusion Despite differences in aetiology of TBI between Europe and the US, with no gunshot wounds in our series, we also found that mortality is higher in pedestrians and cyclists and in NAI than following falls. Neuroimaging was often normal and outcome good after falls." @default.
- W2395765318 created "2016-06-24" @default.
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- W2395765318 date "2015-05-01" @default.
- W2395765318 modified "2023-09-27" @default.
- W2395765318 title "PP10.5 – 2374: Mode of injury and mortality following traumatic paediatric head injury in a single centre series of 309 patients" @default.
- W2395765318 doi "https://doi.org/10.1016/s1090-3798(15)30233-6" @default.
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