Epidemiology of traumatic head injury among children presenting to a tertiary hospital in Riyadh
Background: Traumatic brain injury (TBI) is a leading cause of mortality and morbidity in children. The aim of this study was to report the burden of isolated pediatric TBI at a major trauma center in Riyadh, Saudi Arabia and assess associations with mechanism of injury. Methods: A retrospective coh...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Discover STM Publishing Ltd
2020-12-01
|
| Series: | Saudi Journal of Emergency Medicine |
| Subjects: | |
| Online Access: | http://www.ejmanager.com/fulltextpdf.php?mno=83026 |
| _version_ | 1797788680342994944 |
|---|---|
| author | Abdullah Akkam Ohud Asiri Amina Joarder Faisal Almazroua Biswadev Mitra |
| author_facet | Abdullah Akkam Ohud Asiri Amina Joarder Faisal Almazroua Biswadev Mitra |
| author_sort | Abdullah Akkam |
| collection | DOAJ |
| description | Background: Traumatic brain injury (TBI) is a leading cause of mortality and morbidity in children. The aim of this study was to report the burden of isolated pediatric TBI at a major trauma center in Riyadh, Saudi Arabia and assess associations with mechanism of injury.
Methods: A retrospective cohort study using chart review, including children aged ≤14 years with isolated TBI over 2 years from 01 Jan 2016 to 31 Dec 2017 was undertaken. Univariable or unadjusted associations of patients presenting after motor vehicle crashes (MVC) and physiological variables were assessed. Intensive care unit (ICU) admission and mortality at hospital discharge were the primary outcome measures.
Results: There were 2,501 pediatric patients that presented to the Emergency Department with head injury and 241 (9.6%) patients were admitted to hospital with isolated TBI, with an in-hospital mortality rate of 9%. MVC was the most common mechanism of injury (n = 142; 59%) followed by falls (n = 68; 28.2%), pedestrians (n = 26; 10.8%), and non-accidental injuries (n = 5; 2.1%). Patients presenting after MVC were older (p = 0.001), had similar Glasgow Coma Scale scores (p = 0.12) and more often presented in a coagulopathic state (p [SJEMed 2020; 1(2.000): 83-88] |
| first_indexed | 2024-03-13T01:39:53Z |
| format | Article |
| id | doaj.art-8e18996051454d0c8136988307a516d0 |
| institution | Directory Open Access Journal |
| issn | 1658-8487 |
| language | English |
| last_indexed | 2024-03-13T01:39:53Z |
| publishDate | 2020-12-01 |
| publisher | Discover STM Publishing Ltd |
| record_format | Article |
| series | Saudi Journal of Emergency Medicine |
| spelling | doaj.art-8e18996051454d0c8136988307a516d02023-07-03T16:10:11ZengDiscover STM Publishing LtdSaudi Journal of Emergency Medicine1658-84872020-12-0112838810.24911/SJEMed/72-158001755983026Epidemiology of traumatic head injury among children presenting to a tertiary hospital in RiyadhAbdullah Akkam0Ohud Asiri1Amina Joarder2Faisal Almazroua3Biswadev Mitra4Pediatric Emergency Department, Children Hospital, King Saud Medical City, Riyadh, Saudi Arabia Pediatric Emergency Department, Children Hospital, King Saud Medical City, Riyadh, Saudi Arabia Pediatric Intensive Unit, Children Hospital, King Saud Medical City, Riyadh, Saudi Arabia Adult Emergency Department, King Saud Medical City, Riyadh, Saudi Arabia Emergency & Trauma Center, The Alfred Hospital, Melbourne, Victoria, AustraliaBackground: Traumatic brain injury (TBI) is a leading cause of mortality and morbidity in children. The aim of this study was to report the burden of isolated pediatric TBI at a major trauma center in Riyadh, Saudi Arabia and assess associations with mechanism of injury. Methods: A retrospective cohort study using chart review, including children aged ≤14 years with isolated TBI over 2 years from 01 Jan 2016 to 31 Dec 2017 was undertaken. Univariable or unadjusted associations of patients presenting after motor vehicle crashes (MVC) and physiological variables were assessed. Intensive care unit (ICU) admission and mortality at hospital discharge were the primary outcome measures. Results: There were 2,501 pediatric patients that presented to the Emergency Department with head injury and 241 (9.6%) patients were admitted to hospital with isolated TBI, with an in-hospital mortality rate of 9%. MVC was the most common mechanism of injury (n = 142; 59%) followed by falls (n = 68; 28.2%), pedestrians (n = 26; 10.8%), and non-accidental injuries (n = 5; 2.1%). Patients presenting after MVC were older (p = 0.001), had similar Glasgow Coma Scale scores (p = 0.12) and more often presented in a coagulopathic state (p [SJEMed 2020; 1(2.000): 83-88]http://www.ejmanager.com/fulltextpdf.php?mno=83026wounds and injuriespediatricsinjuriesbrainroad traffic crashepidemiologysaudi arabia |
| spellingShingle | Abdullah Akkam Ohud Asiri Amina Joarder Faisal Almazroua Biswadev Mitra Epidemiology of traumatic head injury among children presenting to a tertiary hospital in Riyadh Saudi Journal of Emergency Medicine wounds and injuries pediatrics injuries brain road traffic crash epidemiology saudi arabia |
| title | Epidemiology of traumatic head injury among children presenting to a tertiary hospital in Riyadh |
| title_full | Epidemiology of traumatic head injury among children presenting to a tertiary hospital in Riyadh |
| title_fullStr | Epidemiology of traumatic head injury among children presenting to a tertiary hospital in Riyadh |
| title_full_unstemmed | Epidemiology of traumatic head injury among children presenting to a tertiary hospital in Riyadh |
| title_short | Epidemiology of traumatic head injury among children presenting to a tertiary hospital in Riyadh |
| title_sort | epidemiology of traumatic head injury among children presenting to a tertiary hospital in riyadh |
| topic | wounds and injuries pediatrics injuries brain road traffic crash epidemiology saudi arabia |
| url | http://www.ejmanager.com/fulltextpdf.php?mno=83026 |
| work_keys_str_mv | AT abdullahakkam epidemiologyoftraumaticheadinjuryamongchildrenpresentingtoatertiaryhospitalinriyadh AT ohudasiri epidemiologyoftraumaticheadinjuryamongchildrenpresentingtoatertiaryhospitalinriyadh AT aminajoarder epidemiologyoftraumaticheadinjuryamongchildrenpresentingtoatertiaryhospitalinriyadh AT faisalalmazroua epidemiologyoftraumaticheadinjuryamongchildrenpresentingtoatertiaryhospitalinriyadh AT biswadevmitra epidemiologyoftraumaticheadinjuryamongchildrenpresentingtoatertiaryhospitalinriyadh |