Severe head injury in children: early prognosis and outcome

The outcome is reported in 62 children with severe head injuries following a road traffic accident. All patients were comatose for at least 6 h; all patients were graded using the Glasgow Coma Score (GCS) or the Children Coma Score (CCS). Fifty-four patients were comatose immediately after injury, 8...

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Bibliographic Details
Published inChild's nervous system Vol. 1; no. 3; p. 158
Main Authors Zuccarello, M, Facco, E, Zampieri, P, Zanardi, L, Andrioli, G C
Format Journal Article
LanguageEnglish
Published Germany 01.01.1985
Subjects
Accidents, Traffic
Adolescent
Child
Child, Preschool
Coma - physiopathology
Craniocerebral Trauma - physiopathology
Craniocerebral Trauma - therapy
Humans
Infant
Posture
Prognosis
Reflex
Reflex, Pupillary
Respiration
Time Factors
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Summary:The outcome is reported in 62 children with severe head injuries following a road traffic accident. All patients were comatose for at least 6 h; all patients were graded using the Glasgow Coma Score (GCS) or the Children Coma Score (CCS). Fifty-four patients were comatose immediately after injury, 8 after a lucid interval. Thirty patients had isolated head injuries and 32 had associated injuries, either long bone fractures or rupture of an abdominal organ. Additional information concerning main brainstem reflexes, posture and respiration was included in the study. The overall mortality was 32%. The goal of the study was to identify those clinical features available soon after injury which are important indicators of treatment and outcome.
ISSN:0256-7040
DOI:10.1007/BF00735731