Head Trauma in Children: An Epidemiological Study
Iranian Journal of Pediatric Surgery,
Vol. 7 No. 1 (2021),
27 April 2021
Introduction: Brain injury is one of the most common causes of death among victims of trauma in various accidents. The type of accident and outcome could be different in children from adults. Therefore, we aimed to investigate the epidemiology of traumatic head injury in children.
Materials and Methods: In this cross-sectional study, 114 patients (age≤15 years) with head trauma, who were admitted to trauma ward of Imam Reza hospital in 2018 were enrolled in the study. Data regarding the demographic characteristics, mechanism of trauma, season of trauma, hemodynamic findings and outcome of the patients were collected.
Results: The mean age amongst victims of trauma was 6.52±3.95 years and majority of them (70.2%) were male. Most of traumatic accidents took place in the spring (27.2%) and summer (32.5%). Traffic accidents (pedestrians or passenger) (55.3%) and falling (39.5%) were the most common mechanism of trauma. Also, epidural hematoma (EDH) and brain contusion were the most encountered type of brain injury (1.75%). Nine patients (7.89%) underwent brain surgery. Eventually, eight patients (7.17%) died.
Conclusion: Falling and vehicle accidents are the main causes of head injury among children. Increasing the parents’ awareness toward these types of accidents and proper preventive measures can reduce traumatic brain injury.
- Head injury
- Brain injury
How to Cite
Calil AM, Sallum EA, de AlencarDomingues C, et al: Mapeamento das
lesõesemvítimas de acidentes de trânsito: revisãosistemática da literatura. Revista Latino-
Americana de Enfermagem 2009; 17(1): 120-5.
Puvanachandra P, Hyder AA: The burden of traumatic brain injury in Asia: a call for
research. Pak J NeurolSci 2009; 4(1):27-32.
Andelic N, Hammergren N, BautzHolter E, et al: Functional outcome and health-related quality of life 10 years after moderate to severe traumatic brain injury. ActaNeurologicaScandinavica 2009; 120(1):16-23.
Yattoo G, Tabish A: The profile of head injuries and traumatic braininjury deaths in Kashmir. J Trauma Manag Outcomes 2008;2(1):5.
Younesian S, Mahfoozpour S, Shad EG, et al: Unintentional Home Injury prevention in Preschool Children; a Study of Contributing Factors. Emergency 2015;3.
De Silva MJ, Roberts I, Perel P, et al: Patient outcome after traumatic brain injury in high-, middle and low-income countries: analysis of data on 8927 patients in 46countries. Int J Epidemiol 2009;38(2):452-8.
Menon D, Schwab K, Wright D, et al: Demographics and Clinical Assessment Working
Group of the International and Interagency Initiative toward Common Data Elements for Research on Traumatic Brain Injury and Psychological Health. Position statement: definition of traumatic brain injury. Arch Phys Med Rehabil 2010;91(11):1637-40.
Fu TS, Jing R, McFaull SR, et al: Recent trends in hospitalization and in-hospital
mortality associated with traumatic brain injury in Canada: A nationwide, population-based
study. Journal of Trauma and Acute Care Surgery 2015;79(3):449-55.
Memarzadeh M, Hoseinpour M, Sanjary N, et al: A study ontrauma epidemiology in children referred to Isfahan Alzahra Hospital during 2004-7. Feyz Journals of Kashan University of Medical Sciences 2011;14(5).
Mack KA, Gilchrist J, Ballesteros MF: Bunk bed-related injuries sustained by young children treated in emergency departments in the United States, 2001–2004, National Electronic Injury
Surveillance System–All Injury Program. Injury prevention 2007 13(2): 137-40.
Koptiz E, Cropper M: Traffic Fatalities and economic growth. The World Bank, policy research working paper No.3035.Washington DC; World Bank, 2003.
Brehaut JC, Miller A, Raina P, et al: childhood behavior disorders and injuries among children and youth: a population based study. Pediatrics 2003; 111(2): 262-9.
Javid MD, Shahcheraghi MD, Lahiji A, et al: Road traffic injuries in children. Iranian journal of Orthopaedic Surgery. 2006;4(3):1-6.
Forouzanfar MM, Safari S, Niazazari M, et al: Clinical decision rule to prevent unnecessary chest X‐ray in patients with blunt multiple traumas. Emergency Medicine Australasia 2014;26(6):561-6.
Maegele M, Engel D, Bouillon B, et al: Incidence and outcome of traumatic brain injury in an urban areain Western Europe over 10 years. EurSurg Res 2007; 39(6):372-9.
Reid SR, Roesler JS, Gaichas AM, et al: The epidemiology of pediatric traumatic brain injury in Minnesota. Arch Pediatr Adolesc Med 2001; 155(7):784-9.
Andelic N, Sigurdardottir S, Brunborg C, et al: Incidence of hospital treated traumatic brain injury in the Oslo population. Neuroepidemiology 2008; 30(2):120-8.
Tagliaferri F, Compagnone C, Korsic M, et al: Asystematic review of brain injury epidemiology in Europe. ActaNeurochir (Wien) 2006; 148(3):255-68.
Dunning J, Patrick Daly J, Lomas JP, et al: Derivation of the children’s head injury algorithm for the prediction of important clinical events decision rule for headinjury in children. Arch Dis Child 2006;91:885–891.
Amaranath JE, Ramanan M, Reagh J, et al: Epidemiology of traumatic head injury from a major paediatrictraumacentre in New South Wales, Australia. ANZ J Surg 2014; 84, 424–428.
Osmond MH, Brennan-Barnes M, Shephard AL: A 4-yearreview of severe pediatric trauma in eastern Ontario: adescriptive analysis. Journal of Trauma and Acute Care Surgery 2002;52(1):8-12.
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