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HOSPITALIZATION OF CHILDREN WITH TRAUMATIC BRAIN WOUNDS IN BROD - POSAVINA COUNTY
JOSIP MIHIĆ
; Department of Surgery, Dr. Josip Benčević General Hospital, Slavonski Brod, Croatia
KREŠIMIR ROTIM
; University Department of Neurosurgery, Sestre milosrdnice University Hospital Center, Zagreb, Croatia
MILAN BITUNJAC
; Department of Neurology, Dr. Josip Benčević General Hospital, Slavonski Brod, Hrvatska
JOSIP SAMARDŽIĆ
; Department of Surgery, Dr. Josip Benčević General Hospital, Slavonski Brod, Croatia
LIDIJA ŠAPINA
; Department of Neurology, Dr. Josip Benčević General Hospital, Slavonski Brod, Hrvatska
Abstract
Traumatic brain injury (TBI) is the most common cause of acquired disability and death in children. Retrospective analysis showed 350 children, 128 (36.6%) girls and 222 (63.4%) boys who were hospitalized for injury of neurocranium in a 5 year-period in Dr. Josip Benčević General Hospital in Slavonski Brod. Most of them had both contusion and commotion (46.8%), followed by just contusion of the head (12.5%) and fractures of the skull (10.5%). The haemorrhages and hemathomas were less common (epidural, subdural, SAH) (3.2%). The procedures performed showed that in almost all children X-rays had been performed (99.7%). The most commonly X-rays performed were those of the head (craniogram) and/or cervical spine, followed by CT, EEG, ultrasound and NMR. The occurence of complications was recorded in only 2% of injured children (seizure, syncopa, febrile convulsions). Analysis of treatment methods showed that in most children (89.6%) therapy was conservative. The injured children were hospitalizated mostly for 2 days (34.5%) or 3 days (32.5%), while longer hospitalization was less common. Regarding extra consultation of other specialists (besides neurosurgeons), the most commonly consulted were pediatrician, surgeon/traumatologist, specialist of ENT/maxilofacial surgery, neuropediatrician, pediatric surgeon, ophthalmologist and others. It can be said that the prognosis of TBI in children depends on the age, neurological status and kind of injury, and on the quality of care, which involves availability of neurosurgeons and other specialists.
Keywords
traumatic brain injury; children; hospitalization; head injury
Hrčak ID:
89632
URI
Publication date:
30.10.2012.
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