Defenestration in children younger than 6 years old: mortality predictors in severe head trauma

Detalhes bibliográficos
Autor(a) principal: Melo, José Roberto Tude
Data de Publicação: 2009
Outros Autores: Di Rocco, Federico, Lemos Júnior, Laudenor Pereira, Roujeau, Thomas, Thélot, Bertrand, Sainte Rose, Christian, Meyer, Philippe G., Zerah, Michel
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UFBA
Texto Completo: http://www.repositorio.ufba.br/ri/handle/ri/6320
Resumo: Trabalho completo: acesso restrito, p.1077–1083
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spelling Melo, José Roberto TudeDi Rocco, FedericoLemos Júnior, Laudenor PereiraRoujeau, ThomasThélot, BertrandSainte Rose, ChristianMeyer, Philippe G.Zerah, MichelMelo, José Roberto TudeDi Rocco, FedericoLemos Júnior, Laudenor PereiraRoujeau, ThomasThélot, BertrandSainte Rose, ChristianMeyer, Philippe G.Zerah, Michel2012-07-04T19:23:11Z20090256-7040http://www.repositorio.ufba.br/ri/handle/ri/6320v. 25, n. 9Trabalho completo: acesso restrito, p.1077–1083Purpose This study aims to describe the characteristics of severe head injuries in children less than 6 years old, victims of falls from windows, and identify the main predictive factors of mortality in this population. Patients and methods A cross-sectional study was designed through data derived from medical records of less than 6- year-old children victims of falls from windows presenting with a severe head injury defined by an initial Glasgow coma scale (GCS) ≤8, hospitalized at a Pediatric Trauma center level III, between January 2000 and December 2005. Statistical analysis used univariate analysis and multiple logistic regressions.Results We identified 58 severe head injuries in children victims of falls from windows. The mean age was 2.8± 1.4 years, with a male prevalence (64%); 48% of patients had a GCS ≤5; 62.1% had a Pediatric Trauma Score(PTS) ≤3 at hospital admission. The mortality rate was 41% (24/58) and most of them (88%; 21/24) died within 48 h. An increased death rate was noted in children admitted with hypoxemia (p=0.001), low systolic blood pressure (p=0.002), hypothermia (p=0.0001), GCS ≤5 (p=10−5), PTS ≤3 (p=0.008), hyperglycemia (p=0.023), coagulation disorders (p=0.02), and initial intracranial pressure ≥20 mmHg (p=0.03). Initial hypothermia, hyperglycemia, and coagulation disorders were the only independent predictive factors of mortality. Conclusion Severe head injuries resulting from falls from windows carry a high risk of mortality in less than 6-yearold children. Hypothermia, hyperglycemia, and coagulation’s disorders are independent predictive factors of mortality. Early deaths could be considered as direct consequences of uncontrollable brain lesions.Submitted by Bruna Lessa (lessbruna@gmail.com) on 2012-07-04T19:23:11Z No. of bitstreams: 1 (103)fulltext.pdf: 152533 bytes, checksum: 63ca3d18473a20c22ef3f09a07a51931 (MD5)Made available in DSpace on 2012-07-04T19:23:11Z (GMT). No. of bitstreams: 1 (103)fulltext.pdf: 152533 bytes, checksum: 63ca3d18473a20c22ef3f09a07a51931 (MD5) Previous issue date: 2009Springer Verlaghttp://www.springerlink.com/content/8w458705886h25h4/fulltext.pdfreponame:Repositório Institucional da UFBAinstname:Universidade Federal da Bahia (UFBA)instacron:UFBAPediatricFallHead injuryPrognosisMortalityDefenestration in children younger than 6 years old: mortality predictors in severe head traumaChild's Nervous Systeminfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article10000-01-01enginfo:eu-repo/semantics/openAccessORIGINAL(103)fulltext.pdf(103)fulltext.pdfapplication/pdf152533https://repositorio.ufba.br/bitstream/ri/6320/1/%28103%29fulltext.pdf63ca3d18473a20c22ef3f09a07a51931MD51LICENSElicense.txtlicense.txttext/plain1762https://repositorio.ufba.br/bitstream/ri/6320/2/license.txt1b89a9a0548218172d7c829f87a0eab9MD52TEXT(103)fulltext.pdf.txt(103)fulltext.pdf.txtExtracted texttext/plain32269https://repositorio.ufba.br/bitstream/ri/6320/3/%28103%29fulltext.pdf.txt75c96c8a71e50d21f4cac13968333081MD53ri/63202022-07-05 14:03:16.563oai:repositorio.ufba.br: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Repositório InstitucionalPUBhttp://192.188.11.11:8080/oai/requestopendoar:19322022-07-05T17:03:16Repositório Institucional da UFBA - Universidade Federal da Bahia (UFBA)false
dc.title.pt_BR.fl_str_mv Defenestration in children younger than 6 years old: mortality predictors in severe head trauma
dc.title.alternative.pt_BR.fl_str_mv Child's Nervous System
title Defenestration in children younger than 6 years old: mortality predictors in severe head trauma
spellingShingle Defenestration in children younger than 6 years old: mortality predictors in severe head trauma
Melo, José Roberto Tude
Pediatric
Fall
Head injury
Prognosis
Mortality
title_short Defenestration in children younger than 6 years old: mortality predictors in severe head trauma
title_full Defenestration in children younger than 6 years old: mortality predictors in severe head trauma
title_fullStr Defenestration in children younger than 6 years old: mortality predictors in severe head trauma
title_full_unstemmed Defenestration in children younger than 6 years old: mortality predictors in severe head trauma
title_sort Defenestration in children younger than 6 years old: mortality predictors in severe head trauma
author Melo, José Roberto Tude
author_facet Melo, José Roberto Tude
Di Rocco, Federico
Lemos Júnior, Laudenor Pereira
Roujeau, Thomas
Thélot, Bertrand
Sainte Rose, Christian
Meyer, Philippe G.
Zerah, Michel
author_role author
author2 Di Rocco, Federico
Lemos Júnior, Laudenor Pereira
Roujeau, Thomas
Thélot, Bertrand
Sainte Rose, Christian
Meyer, Philippe G.
Zerah, Michel
author2_role author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Melo, José Roberto Tude
Di Rocco, Federico
Lemos Júnior, Laudenor Pereira
Roujeau, Thomas
Thélot, Bertrand
Sainte Rose, Christian
Meyer, Philippe G.
Zerah, Michel
Melo, José Roberto Tude
Di Rocco, Federico
Lemos Júnior, Laudenor Pereira
Roujeau, Thomas
Thélot, Bertrand
Sainte Rose, Christian
Meyer, Philippe G.
Zerah, Michel
dc.subject.por.fl_str_mv Pediatric
Fall
Head injury
Prognosis
Mortality
topic Pediatric
Fall
Head injury
Prognosis
Mortality
description Trabalho completo: acesso restrito, p.1077–1083
publishDate 2009
dc.date.issued.fl_str_mv 2009
dc.date.accessioned.fl_str_mv 2012-07-04T19:23:11Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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status_str publishedVersion
dc.identifier.uri.fl_str_mv http://www.repositorio.ufba.br/ri/handle/ri/6320
dc.identifier.issn.none.fl_str_mv 0256-7040
dc.identifier.number.pt_BR.fl_str_mv v. 25, n. 9
identifier_str_mv 0256-7040
v. 25, n. 9
url http://www.repositorio.ufba.br/ri/handle/ri/6320
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv Springer Verlag
publisher.none.fl_str_mv Springer Verlag
dc.source.pt_BR.fl_str_mv http://www.springerlink.com/content/8w458705886h25h4/fulltext.pdf
dc.source.none.fl_str_mv reponame:Repositório Institucional da UFBA
instname:Universidade Federal da Bahia (UFBA)
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