Trauma brain injury in paediatric mild blunt head trauma in Hospital Universiti Universiti Sains Malaysia

Background: Paediatric minor head injury is a common presentation in emergency department worldwide. There is controversy about which patients should undergo computed tomography (CT) of the brain. The purpose of our study was to identify the predictors for paediatric traumatic brain injury on CT...

Full description

Saved in:

Bibliographic Details
Main Author:	Song, Cheng Hee
Format:	Thesis
Language:	English
Published:	2017
Subjects:	RJ Pediatrics
Online Access:	http://eprints.usm.my/44901/1/Dr.%20Cheng%20Hee%20Song-24%20pages.pdf
Tags:	Add Tag No Tags, Be the first to tag this record!

id	my-usm-ep.44901
record_format	uketd_dc
spelling	my-usm-ep.449012020-10-22T03:03:15Z Trauma brain injury in paediatric mild blunt head trauma in Hospital Universiti Universiti Sains Malaysia 2017 Song, Cheng Hee RJ Pediatrics Background: Paediatric minor head injury is a common presentation in emergency department worldwide. There is controversy about which patients should undergo computed tomography (CT) of the brain. The purpose of our study was to identify the predictors for paediatric traumatic brain injury on CT scan in our population. We also aimed to determine the association between isolated versus non-isolated vomiting with traumatic brain injury on CT brain. Methods: Children with minor head injury (GCS 13-15) presented to Hospital Universiti Sains Malaysia (USM) during the period from 2009 to 2013 were retrospectively reviewed. We evaluated clinical variables such as the mechanism of injury, presenting symptoms and physical signs on the examination for positive traumatic brain injury as determined by CT brain. The data was analysed by chi-square test, simple and multiple logistic regression analyses.Results: A total of 274 patients were enrolled into our study. The mean and standard deviation age of study group was 11.2 (5.39) years old. Traumatic brain injury on CT scan occurred in 49.3% of patients. On multivariable analysis, we identified the following three predictors which were statistically significant: headache (adjusted OR 2.24, 95% CI 1.24, 4.05, p=0.008), giddiness (adjusted OR 3.08, 95% CI 1.27, 7.51, p=0.013) and presence of scalp hematoma (adjusted OR 2.93, 95% CI 1.60, 5.34, p<0.001). TBI on CT scan occurred in 2 of 24 patients in the isolated vomiting group versus 71 of 123 in the non-isolated vomiting group. We found significant association between isolated versus non-isolated vomiting with traumatic brain injury on CT brain (p<0.001). Conclusions: Headache, giddiness and presence of scalp hematoma are independent predictors for minor blunt head injury in our pediatric population. CT brain should be seriously considered in children presenting with vomiting accompanied by othersymptoms and signs suggestive of traumatic brain injury. 2017 Thesis http://eprints.usm.my/44901/ http://eprints.usm.my/44901/1/Dr.%20Cheng%20Hee%20Song-24%20pages.pdf application/pdf en public masters Universiti Sains Malaysia Pusat Pengajian Sains Perubatan
institution	Universiti Sains Malaysia
collection	USM Institutional Repository
language	English
topic	RJ Pediatrics
spellingShingle	RJ Pediatrics Song, Cheng Hee Trauma brain injury in paediatric mild blunt head trauma in Hospital Universiti Universiti Sains Malaysia
description	Background: Paediatric minor head injury is a common presentation in emergency department worldwide. There is controversy about which patients should undergo computed tomography (CT) of the brain. The purpose of our study was to identify the predictors for paediatric traumatic brain injury on CT scan in our population. We also aimed to determine the association between isolated versus non-isolated vomiting with traumatic brain injury on CT brain. Methods: Children with minor head injury (GCS 13-15) presented to Hospital Universiti Sains Malaysia (USM) during the period from 2009 to 2013 were retrospectively reviewed. We evaluated clinical variables such as the mechanism of injury, presenting symptoms and physical signs on the examination for positive traumatic brain injury as determined by CT brain. The data was analysed by chi-square test, simple and multiple logistic regression analyses.Results: A total of 274 patients were enrolled into our study. The mean and standard deviation age of study group was 11.2 (5.39) years old. Traumatic brain injury on CT scan occurred in 49.3% of patients. On multivariable analysis, we identified the following three predictors which were statistically significant: headache (adjusted OR 2.24, 95% CI 1.24, 4.05, p=0.008), giddiness (adjusted OR 3.08, 95% CI 1.27, 7.51, p=0.013) and presence of scalp hematoma (adjusted OR 2.93, 95% CI 1.60, 5.34, p<0.001). TBI on CT scan occurred in 2 of 24 patients in the isolated vomiting group versus 71 of 123 in the non-isolated vomiting group. We found significant association between isolated versus non-isolated vomiting with traumatic brain injury on CT brain (p<0.001). Conclusions: Headache, giddiness and presence of scalp hematoma are independent predictors for minor blunt head injury in our pediatric population. CT brain should be seriously considered in children presenting with vomiting accompanied by othersymptoms and signs suggestive of traumatic brain injury.
format	Thesis
qualification_level	Master's degree
author	Song, Cheng Hee
author_facet	Song, Cheng Hee
author_sort	Song, Cheng Hee
title	Trauma brain injury in paediatric mild blunt head trauma in Hospital Universiti Universiti Sains Malaysia
title_short	Trauma brain injury in paediatric mild blunt head trauma in Hospital Universiti Universiti Sains Malaysia
title_full	Trauma brain injury in paediatric mild blunt head trauma in Hospital Universiti Universiti Sains Malaysia
title_fullStr	Trauma brain injury in paediatric mild blunt head trauma in Hospital Universiti Universiti Sains Malaysia
title_full_unstemmed	Trauma brain injury in paediatric mild blunt head trauma in Hospital Universiti Universiti Sains Malaysia
title_sort	trauma brain injury in paediatric mild blunt head trauma in hospital universiti universiti sains malaysia
granting_institution	Universiti Sains Malaysia
granting_department	Pusat Pengajian Sains Perubatan
publishDate	2017
url	http://eprints.usm.my/44901/1/Dr.%20Cheng%20Hee%20Song-24%20pages.pdf
_version_	1747821422166671360

Trauma brain injury in paediatric mild blunt head trauma in Hospital Universiti Universiti Sains Malaysia

Similar Items