
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
ISSN1678-4227
AutoresJosé 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
ResumoTo 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.
Referência(s)