Falls and Motor Vehicle Accidents as The Most Common Causes of Moderate and Severe Head Injuries in Children Age 3 and Younger
Objective: We aimed to evaluate the most common causes of moderate and severe head injury at age 3 and younger.Material and Methods: This is a retrospective study that included 157 children (105 males and 52 females) at 3 years of age or younger who were admitted to our emergency unit for moderate o...
| প্রধান লেখক: | , , |
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| বিন্যাস: | প্রবন্ধ |
| ভাষা: | English |
| প্রকাশিত: |
Galenos Yayinevi
2017-09-01
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| মালা: | Bagcilar Medical Bulletin |
| বিষয়গুলি: | |
| অনলাইন ব্যবহার করুন: |
http://behmedicalbulletin.org/archives/archive-detail/article-preview/falls-and-motor-vehicle-accidents-as-the-most-comm/23438
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| _version_ | 1828021910742499328 |
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| author | Aycicek Cecen Merih Is Erhan Celikoglu |
| author_facet | Aycicek Cecen Merih Is Erhan Celikoglu |
| author_sort | Aycicek Cecen |
| collection | DOAJ |
| description | Objective: We aimed to evaluate the most common causes of moderate and severe head injury at age 3 and younger.Material and Methods: This is a retrospective study that included 157 children (105 males and 52 females) at 3 years of age or younger who were admitted to our emergency unit for moderate or severe head injury between June 2001 and December 2008. Data on patient age, gender, cause of trauma, clinical signs and symptoms, length of hospitalization, radiological findings, surgery, additional injuries, postoperative and late complications, and mortality were examined.Results: The mean age of the patients was 21.05 months. The most common presentation was deterioration in consciousness. The most common cause of moderate head injury was a fall from 1–2 m at 7–12 months of age, and for severe head injury it was a motor vehicle accident at 19–24 months of age. The most common radiological finding in all groups was a linear fracture. In the moderate head injury group, 16 epidural hematomas (EDH), four subdural hematomas (SDH), two dura-brain lacerations, and two depressed fractures required surgery. In the severe head injury group, 6 SDHs and 5 EDHs required surgery. The major postoperative complications were meningitis, rhinorrhea, epileptic seizures, and subdural fluid collection. The overall mortality rate was 3.18% (5 of 157 patients).Conclusions:In our series of moderate and severe head trauma in patients younger than 3 years, the most common cause of trauma was falling from 1–2 m. For prevention, family caregivers must watch crawlers and toddlers closely. |
| first_indexed | 2024-04-10T11:59:21Z |
| format | Article |
| id | doaj.art-aa8d42f872c94e479d7baa378d2c33b5 |
| institution | Directory Open Access Journal |
| issn | 2547-9431 |
| language | English |
| last_indexed | 2024-04-10T11:59:21Z |
| publishDate | 2017-09-01 |
| publisher | Galenos Yayinevi |
| record_format | Article |
| series | Bagcilar Medical Bulletin |
| spelling | doaj.art-aa8d42f872c94e479d7baa378d2c33b52023-02-15T16:16:40ZengGalenos YayineviBagcilar Medical Bulletin2547-94312017-09-0123606610.5350/BMB2017091109392013049054Falls and Motor Vehicle Accidents as The Most Common Causes of Moderate and Severe Head Injuries in Children Age 3 and YoungerAycicek Cecen0Merih Is1Erhan Celikoglu2 University of Health Sciences, Fatih Sultan Mehmet Training and Research Hospital, Istanbul-Turkey University of Health Sciences, Fatih Sultan Mehmet Training and Research Hospital, Istanbul-Turkey University of Health Sciences, Fatih Sultan Mehmet Training and Research Hospital, Istanbul-Turkey Objective: We aimed to evaluate the most common causes of moderate and severe head injury at age 3 and younger.Material and Methods: This is a retrospective study that included 157 children (105 males and 52 females) at 3 years of age or younger who were admitted to our emergency unit for moderate or severe head injury between June 2001 and December 2008. Data on patient age, gender, cause of trauma, clinical signs and symptoms, length of hospitalization, radiological findings, surgery, additional injuries, postoperative and late complications, and mortality were examined.Results: The mean age of the patients was 21.05 months. The most common presentation was deterioration in consciousness. The most common cause of moderate head injury was a fall from 1–2 m at 7–12 months of age, and for severe head injury it was a motor vehicle accident at 19–24 months of age. The most common radiological finding in all groups was a linear fracture. In the moderate head injury group, 16 epidural hematomas (EDH), four subdural hematomas (SDH), two dura-brain lacerations, and two depressed fractures required surgery. In the severe head injury group, 6 SDHs and 5 EDHs required surgery. The major postoperative complications were meningitis, rhinorrhea, epileptic seizures, and subdural fluid collection. The overall mortality rate was 3.18% (5 of 157 patients).Conclusions:In our series of moderate and severe head trauma in patients younger than 3 years, the most common cause of trauma was falling from 1–2 m. For prevention, family caregivers must watch crawlers and toddlers closely. http://behmedicalbulletin.org/archives/archive-detail/article-preview/falls-and-motor-vehicle-accidents-as-the-most-comm/23438 childhead injuriesmoderate head injurysevere head injuryunder 3 years of age |
| spellingShingle | Aycicek Cecen Merih Is Erhan Celikoglu Falls and Motor Vehicle Accidents as The Most Common Causes of Moderate and Severe Head Injuries in Children Age 3 and Younger Bagcilar Medical Bulletin child head injuries moderate head injury severe head injury under 3 years of age |
| title | Falls and Motor Vehicle Accidents as The Most Common Causes of Moderate and Severe Head Injuries in Children Age 3 and Younger |
| title_full | Falls and Motor Vehicle Accidents as The Most Common Causes of Moderate and Severe Head Injuries in Children Age 3 and Younger |
| title_fullStr | Falls and Motor Vehicle Accidents as The Most Common Causes of Moderate and Severe Head Injuries in Children Age 3 and Younger |
| title_full_unstemmed | Falls and Motor Vehicle Accidents as The Most Common Causes of Moderate and Severe Head Injuries in Children Age 3 and Younger |
| title_short | Falls and Motor Vehicle Accidents as The Most Common Causes of Moderate and Severe Head Injuries in Children Age 3 and Younger |
| title_sort | falls and motor vehicle accidents as the most common causes of moderate and severe head injuries in children age 3 and younger |
| topic | child head injuries moderate head injury severe head injury under 3 years of age |
| url |
http://behmedicalbulletin.org/archives/archive-detail/article-preview/falls-and-motor-vehicle-accidents-as-the-most-comm/23438
|
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