An Analysis of a Set of Patients with Craniocerebral Injury Treated at the Pediatric Medicine Centre of the Teaching Hospital in Brno from 2000 to 2007

Czech version

Authors: E. Brichtová
Authors‘ workplace: Klinika dětské chirurgie, ortopedie a traumatologie FN Brno
Published in: Cesk Slov Neurol N 2008; 71/104(4): 466-471
Category: Short Communication

Overview

The study analyses child patients treated for craniocerebral injuries from the point of view of the length of hospitalisation, neurologic symptomatology and the resulting clinical status one year post-injury. The set consisted of 346 child patients up to 18 years of age, treated at the Children’s Medical Centre of the Teaching Hospital in Brno from January 2000 to December 2007, and was divided into five age groups. The author recorded the etiology and the type of injury, and the percentage of polytraumas according to age and sex. The best recovery from a neurological deficit to normal condition was recorded in patients aged 2 to 14, the rate being over 50% of patients with a neurological deficit at admission. Good clinical result one year post-injury (GOS 5 and 4) was recorded in more than 80% of patients of all the age groups, except for the youngest children up to the age of two. Overall mortality in the set (10.4%) was at the lower limit of the range referred in relevant literature. The average time of hospitalisation at the Anesthesiological and Resuscitation Unit/ICU was longest in the youngest group up to two years of age (12 days), and shortest in the group of patients aged 7 to 14 years (6 days). The longest overall time of hospitalisation was recorded for the group of patients aged 15 to 18 years (24 days). The set of children with a craniocerebral injury included a higher proportion of girls than that referred in literature on the subject. Also mortality of girls corresponded to that of boys. In accordance with relevant literature, the resulting clinical status was good in more than 80% of patients.

Key words:
craniocerebral injury – child age – Glasgow Coma Scale – Glasgow Outcome Scale – neurological deficit – length of hospitalisation

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