Severe head trauma in children: Analysis of 68 cases in light of current guidelines

DUYU, MUHTEREM; boşnak, ercan; Elias, Çimen; Karaarslan, Numan; Guclu, Hasan; Gezen, Ahmet Ferruh; Canizci Erdemli, Pınar; Gürbüz, Mehmet Sabri

doi:10.5455/annalsmedres.2019.12.822

Severe head trauma in children: Analysis of 68 cases in light of current guidelines

Mehmet Sabri GÜRBÜZ, (İstanbul Medeniyet Üniversitesi, Tıp Fakültesi, Nöroşirürji Anabilim Dalı, İstanbul, Türkiye)

Muhterem DUYU, (İstanbul Medeniyet Üniversitesi, Tıp Fakültesi, Çocuk Sağlığı ve Hastalıkları Anabilim Dalı, İstanbul, Türkiye)

Ahmet Ferruh GEZEN, (İstanbul Medeniyet Üniversitesi, Tıp Fakültesi, Nöroşirürji Anabilim Dalı, İstanbul, Türkiye)

Pınar CANIZCI ERDEMLİ, (İstanbul Medeniyet Üniversitesi, Tıp Fakültesi, Çocuk Sağlığı ve Hastalıkları Anabilim Dalı, İstanbul, Türkiye)

Ercan BOŞNAK, (İstanbul Medeniyet Üniversitesi, Tıp Fakültesi, Nöroşirürji Anabilim Dalı, İstanbul, Türkiye)

Çimen ELİAS, (İstanbul Medeniyet Üniversitesi, Tıp Fakültesi, Nöroşirürji Anabilim Dalı, İstanbul, Türkiye)

Hasan GÜÇLÜ, (İstanbul Medeniyet Üniversitesi, Tıp Fakültesi, Biyoistatik ve Tıp Bilişimi Anabilim Dalı, İstanbul, Türkiye)

Numan KARAARSLAN (Namık Kemal Üniversitesi, Tıp Fakültesi, Nöroşirurji Anabilim Dalı, Tekirdağ, Türkiye)

Annals of Medical Research

3 0

Yıl: 2020 Cilt: 27 Sayı: 2 Sayfa Aralığı: 596 - 603 Metin Dili: İngilizce DOI: 10.5455/annalsmedres.2019.12.822 İndeks Tarihi: 17-10-2020

Severe head trauma in children: Analysis of 68 cases in light of current guidelines

Öz:

Aim: To assess the characteristics of severe head trauma in the pediatric age group and to analyze its results under the currentguideline.Material and Methods: Eighty pediatric patients (<18 years) admitted to our hospital with the diagnosis of severe head trauma andtreated by neurosurgery and the pediatric intensive care unit (ICU) between 2014 and 2018 were analyzed retrospectively. Of these,68 patients who met the study criteria were selected. Besides the demographic data of the patients, the presenting neurologic, clinic,radiologic and laboratory findings were recorded. Then the association between these variables and 1-year Glasgow Outcome Scale(GOS) scores was analyzed.Results: There is a correlation between the presenting GCS scores and 1-year GOS scores of the patients when grouped as favorable(4-5) and unfavorable (1-3). Regarding the other admission findings, the patients with hypothermia, the patients with hyperglycemia,the patients to whom CPR was applied, the patients with pupillary areflexia, the patients with hypoxia and the patients with neurologicaldeterioration have lower 1-year GOS scores. There was no difference between the gender, age, type of injury, type of trauma (isolatedhead trauma or multiple trauma), presence of shock on admission, having hematoma surgery, having decompressive craniectomy,treatment with ICP monitoring and 1-year GOS scores. The overall mortality rate was 29.4% (20 patients), and the rate of poorprognosis (GOS 1-3) was 48.5% (33 patients).Conclusion: Children with severe head trauma should be treated at centers that are experienced in the field per updated guidelines.Since the morbidity and mortality rates of severe head trauma are still high, efforts toward improving preventive measures shouldalso be considered.

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	Gürbüz M, DUYU M, Gezen A, Canizci Erdemli P, boşnak e, Elias Ç, Guclu H, Karaarslan N (2020). Severe head trauma in children: Analysis of 68 cases in light of current guidelines. , 596 - 603. 10.5455/annalsmedres.2019.12.822
Chicago	Gürbüz Mehmet Sabri,DUYU MUHTEREM,Gezen Ahmet Ferruh,Canizci Erdemli Pınar,boşnak ercan,Elias Çimen,Guclu Hasan,Karaarslan Numan Severe head trauma in children: Analysis of 68 cases in light of current guidelines. (2020): 596 - 603. 10.5455/annalsmedres.2019.12.822
MLA	Gürbüz Mehmet Sabri,DUYU MUHTEREM,Gezen Ahmet Ferruh,Canizci Erdemli Pınar,boşnak ercan,Elias Çimen,Guclu Hasan,Karaarslan Numan Severe head trauma in children: Analysis of 68 cases in light of current guidelines. , 2020, ss.596 - 603. 10.5455/annalsmedres.2019.12.822
AMA	Gürbüz M,DUYU M,Gezen A,Canizci Erdemli P,boşnak e,Elias Ç,Guclu H,Karaarslan N Severe head trauma in children: Analysis of 68 cases in light of current guidelines. . 2020; 596 - 603. 10.5455/annalsmedres.2019.12.822
Vancouver	Gürbüz M,DUYU M,Gezen A,Canizci Erdemli P,boşnak e,Elias Ç,Guclu H,Karaarslan N Severe head trauma in children: Analysis of 68 cases in light of current guidelines. . 2020; 596 - 603. 10.5455/annalsmedres.2019.12.822
IEEE	Gürbüz M,DUYU M,Gezen A,Canizci Erdemli P,boşnak e,Elias Ç,Guclu H,Karaarslan N "Severe head trauma in children: Analysis of 68 cases in light of current guidelines." , ss.596 - 603, 2020. 10.5455/annalsmedres.2019.12.822
ISNAD	Gürbüz, Mehmet Sabri vd. "Severe head trauma in children: Analysis of 68 cases in light of current guidelines". (2020), 596-603. https://doi.org/10.5455/annalsmedres.2019.12.822

APA	Gürbüz M, DUYU M, Gezen A, Canizci Erdemli P, boşnak e, Elias Ç, Guclu H, Karaarslan N (2020). Severe head trauma in children: Analysis of 68 cases in light of current guidelines. Annals of Medical Research, 27(2), 596 - 603. 10.5455/annalsmedres.2019.12.822
Chicago	Gürbüz Mehmet Sabri,DUYU MUHTEREM,Gezen Ahmet Ferruh,Canizci Erdemli Pınar,boşnak ercan,Elias Çimen,Guclu Hasan,Karaarslan Numan Severe head trauma in children: Analysis of 68 cases in light of current guidelines. Annals of Medical Research 27, no.2 (2020): 596 - 603. 10.5455/annalsmedres.2019.12.822
MLA	Gürbüz Mehmet Sabri,DUYU MUHTEREM,Gezen Ahmet Ferruh,Canizci Erdemli Pınar,boşnak ercan,Elias Çimen,Guclu Hasan,Karaarslan Numan Severe head trauma in children: Analysis of 68 cases in light of current guidelines. Annals of Medical Research, vol.27, no.2, 2020, ss.596 - 603. 10.5455/annalsmedres.2019.12.822
AMA	Gürbüz M,DUYU M,Gezen A,Canizci Erdemli P,boşnak e,Elias Ç,Guclu H,Karaarslan N Severe head trauma in children: Analysis of 68 cases in light of current guidelines. Annals of Medical Research. 2020; 27(2): 596 - 603. 10.5455/annalsmedres.2019.12.822
Vancouver	Gürbüz M,DUYU M,Gezen A,Canizci Erdemli P,boşnak e,Elias Ç,Guclu H,Karaarslan N Severe head trauma in children: Analysis of 68 cases in light of current guidelines. Annals of Medical Research. 2020; 27(2): 596 - 603. 10.5455/annalsmedres.2019.12.822
IEEE	Gürbüz M,DUYU M,Gezen A,Canizci Erdemli P,boşnak e,Elias Ç,Guclu H,Karaarslan N "Severe head trauma in children: Analysis of 68 cases in light of current guidelines." Annals of Medical Research, 27, ss.596 - 603, 2020. 10.5455/annalsmedres.2019.12.822
ISNAD	Gürbüz, Mehmet Sabri vd. "Severe head trauma in children: Analysis of 68 cases in light of current guidelines". Annals of Medical Research 27/2 (2020), 596-603. https://doi.org/10.5455/annalsmedres.2019.12.822