Severe head injury in early infancy: analysis of causes and possible predictive factors for outcome

被引：30
作者：
Marton, Elisabetta [1 ]
Mazzucco, Marina
Nascimben, Ennio
Martinuzzi, Andrea
Longatti, Pierluigi
机构：
[1] Univ Padua, Dept Neurosurg, Ca Foncello Hosp, I-31100 Treviso, Italy
[2] Ca Foncello Hosp, Neurosurg Intens Care Unit, Treviso, Italy
[3] Conegliano Res Ctr, E Medea Sci Inst, Conegliano, Italy
来源：
CHILDS NERVOUS SYSTEM | 2007年 / 23卷 / 08期
关键词：
paediatric head injury; childhood trauma; functional outcome; paediatric coma scales; prognostic factors;
D O I：
10.1007/s00381-007-0314-9
中图分类号：
R74 [神经病学与精神病学];
学科分类号：
摘要：
Object The aim of this study was to analyse the causes and prognostic factors for outcome in severe traumatic brain injuries (TBI) in early infancy. Materials and methods We present a retrospective study on 16 infants aged less than 12 months observed over the last 20 years in our department for severe brain injury. Infants were evaluated by the Children Coma Scale (CCS). We assessed Glasgow Outcome Scale (GOS) at discharge and at 12 months after discharge. Conclusions The main causes of trauma were domestic accidents followed by car accidents. The highest positive correlation was found between the GOS score at I year and the presence of hypoxia and hypotension at admission, the presence of hyperglycaemia at 24 It and the occurrence of major clotting disorders. A significant but weaker correlation was found with the CCS at admission, the occurrence of early post-traumatic seizures and the length of stay in the intensive care unit.
引用
收藏
页码：873 / 880
页数：8
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