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|Title: ||Do children with Glasgow 13/14 could be identified as mild traumatic brain injury?|
|Other Titles: ||Arquivos de Neuro-Psiquiatria|
|Authors: ||Melo, José Roberto Tude|
Lemos Júnior, Laudenor Pereira
Reis, Rodolfo Casimiro
Araújo, Alex O.
Menezes, Carlos W.
Santos, Gustavo P.
Barreto, Bruna B.
Oliveira Filho, Jamary
|Keywords: ||adolescents;brain injuries;child;head trauma;Glasgow Coma Scale;prognosis|
|Issue Date: ||2010|
|Abstract: ||Objective: To identify in mild head injured children the major differences between those with a Glasgow Coma Scale (GCS) 15 and GCS 13/14. Method: 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. Results: 1888 patients were included. The mean age was 7.6±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. Conclusion: 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.|
|Appears in Collections:||Artigos Publicados em Periódicos (Medicina)|
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