Clinico-etiological profile and outcome of traumatic head injury in children- a tertiary care experience
Abstract
Introduction: Children are most vulnerable to head injury, which is one of the most common indications for hospitalization and is often associated with significant morbidity and mortality in severe cases. This study was undertaken to know about the clinical profile, etiology and outcome of head injury in children in a tertiary care hospital.
Study Design: Retrospective study.
Materials and method: This study was done on 53 children with head injury admitted to pediatric department of Velammal Medical College, Madurai from October 2013- December 2016.
Results: Out of the 53 children studied with head injury, males outnumbered (60.3%) females (39.6%). Road traffic accident was the most common cause of head injury (52.8%), followed by accidental fall (47.1%). Vomiting was the most common symptom at admission (58.4%) followed by injuries to scalp and face (41.5%) headache (37.7%), altered sensorium (28.3%). Head injury was mild in severity in 71.6% of childer. Neuro-imaging analysis showed traumatic brain injury in (73.5%) of them, skull bone fractures in (49%), facial bone fractures in (15%) of children. Outcome was measured as with full recovery in 86.7% of children, (5.6%) had partial recovery, death in 3.7% of children.
Conclusion: Parental guidance is advised to avoid accidental falls. Implementation of strict traffic rules, timely intervention and aggressive management reduces morbidity and mortality in children with traumatic head injury.
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References
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