Artigo Acesso aberto Produção Nacional Revisado por pares

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

2010; Thieme Medical Publishers (Germany); Volume: 68; Issue: 3 Linguagem: Inglês

10.1590/s0004-282x2010000300010

ISSN

1678-4227

Autores

José Roberto Tude Melo, Laudenor Pereira Lemos-Júnior, Rodolfo Casimiro Reis, Alex Oliveira de Araújo, Carlos W Menezes, Gustavo Philippi de los Santos, Bruna Brandão Barreto, Thomaz Menezes, Jamary Oliveira‐Filho,

Tópico(s)

Cardiac Arrest and Resuscitation

Resumo

To identify in mild head injured children the major differences between those with a Glasgow Coma Scale (GCS) 15 and GCS 13/14.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 2008.1888 patients were included. The mean age was 7.6 + or - 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.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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