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

Detalhes bibliográficos
Autor(a) principal: Melo,José Roberto Tude
Data de Publicação: 2010
Outros Autores: Lemos-Júnior,Laudenor Pereira, Reis,Rodolfo Casimiro, Araújo,Alex O, Menezes,Carlos W, Santos,Gustavo P, Barreto,Bruna B, Menezes,Thomaz, Oliveira-Filho,Jamary
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Arquivos de neuro-psiquiatria (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2010000300010
Resumo: 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±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.
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spelling Do children with Glasgow 13/14 could be identified as mild traumatic brain injury?adolescentsbrain injurieschildGlasgow Coma Scalehead traumaprognosisOBJECTIVE: 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±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.Academia Brasileira de Neurologia - ABNEURO2010-06-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2010000300010Arquivos de Neuro-Psiquiatria v.68 n.3 2010reponame:Arquivos de neuro-psiquiatria (Online)instname:Academia Brasileira de Neurologiainstacron:ABNEURO10.1590/S0004-282X2010000300010info:eu-repo/semantics/openAccessMelo,José Roberto TudeLemos-Júnior,Laudenor PereiraReis,Rodolfo CasimiroAraújo,Alex OMenezes,Carlos WSantos,Gustavo PBarreto,Bruna BMenezes,ThomazOliveira-Filho,Jamaryeng2010-06-24T00:00:00Zoai:scielo:S0004-282X2010000300010Revistahttp://www.scielo.br/anphttps://old.scielo.br/oai/scielo-oai.php||revista.arquivos@abneuro.org1678-42270004-282Xopendoar:2010-06-24T00:00Arquivos de neuro-psiquiatria (Online) - Academia Brasileira de Neurologiafalse
dc.title.none.fl_str_mv Do children with Glasgow 13/14 could be identified as mild traumatic brain injury?
title Do children with Glasgow 13/14 could be identified as mild traumatic brain injury?
spellingShingle Do children with Glasgow 13/14 could be identified as mild traumatic brain injury?
Melo,José Roberto Tude
adolescents
brain injuries
child
Glasgow Coma Scale
head trauma
prognosis
title_short Do children with Glasgow 13/14 could be identified as mild traumatic brain injury?
title_full Do children with Glasgow 13/14 could be identified as mild traumatic brain injury?
title_fullStr Do children with Glasgow 13/14 could be identified as mild traumatic brain injury?
title_full_unstemmed Do children with Glasgow 13/14 could be identified as mild traumatic brain injury?
title_sort Do children with Glasgow 13/14 could be identified as mild traumatic brain injury?
author Melo,José Roberto Tude
author_facet Melo,José Roberto Tude
Lemos-Júnior,Laudenor Pereira
Reis,Rodolfo Casimiro
Araújo,Alex O
Menezes,Carlos W
Santos,Gustavo P
Barreto,Bruna B
Menezes,Thomaz
Oliveira-Filho,Jamary
author_role author
author2 Lemos-Júnior,Laudenor Pereira
Reis,Rodolfo Casimiro
Araújo,Alex O
Menezes,Carlos W
Santos,Gustavo P
Barreto,Bruna B
Menezes,Thomaz
Oliveira-Filho,Jamary
author2_role author
author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Melo,José Roberto Tude
Lemos-Júnior,Laudenor Pereira
Reis,Rodolfo Casimiro
Araújo,Alex O
Menezes,Carlos W
Santos,Gustavo P
Barreto,Bruna B
Menezes,Thomaz
Oliveira-Filho,Jamary
dc.subject.por.fl_str_mv adolescents
brain injuries
child
Glasgow Coma Scale
head trauma
prognosis
topic adolescents
brain injuries
child
Glasgow Coma Scale
head trauma
prognosis
description 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±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.
publishDate 2010
dc.date.none.fl_str_mv 2010-06-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2010000300010
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2010000300010
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/S0004-282X2010000300010
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Academia Brasileira de Neurologia - ABNEURO
publisher.none.fl_str_mv Academia Brasileira de Neurologia - ABNEURO
dc.source.none.fl_str_mv Arquivos de Neuro-Psiquiatria v.68 n.3 2010
reponame:Arquivos de neuro-psiquiatria (Online)
instname:Academia Brasileira de Neurologia
instacron:ABNEURO
instname_str Academia Brasileira de Neurologia
instacron_str ABNEURO
institution ABNEURO
reponame_str Arquivos de neuro-psiquiatria (Online)
collection Arquivos de neuro-psiquiatria (Online)
repository.name.fl_str_mv Arquivos de neuro-psiquiatria (Online) - Academia Brasileira de Neurologia
repository.mail.fl_str_mv ||revista.arquivos@abneuro.org
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