Do children with Glasgow 13/14 could be identified as mild traumatic brain injury?
Autor(a) principal: | |
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Data de Publicação: | 2010 |
Outros Autores: | , , , , , , , |
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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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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