Minimal and mild paediatric brain injury: A 3-year cohort of consecutive presentations

作者：Russo Remo Nunzio^*; Rice James; Chern Phei Ming; Raftos Jeremy

来源：Developmental Neurorehabilitation, 2012, 15(1): 13-18.

DOI：10.3109/17518423.2011.625558

• Brain injury
• closed head injury
• trauma
• child

Objective: To determine the number of children with minimal and mild traumatic brain injury (TBI) and their demographic factors, causes, associated signs/symptoms and management. %26lt;br%26gt;Methods: A cross-sectional analysis of consecutive presentations to a tertiary paediatric centre. %26lt;br%26gt;Results: There were 2043 presentations of minimal and mild TBI over 3 years (minimal TBI = 79.7% [n = 1628]; mild TBI = 20.3% [n = 415]). Mean age was 5.12 years (SD = 5.14) with children %26lt;= 3 years comprising 53.2% (n = 1086). There was a bimodal distribution in mild TBI with peaks at 0-2 and 13-15 years. The male-to-female ratio was 1.6:1. Only 34.6% of GCS scores were documented. Falls caused most injury. Overall, 6.3% (n = 129) required hospital admission and 29.1% (n = 594) were reviewed clinically. %26lt;br%26gt;Conclusion: Minimal and mild TBI is common, representing a significant burden on individuals, families and healthcare providers. High rates of follow-up impact on the healthcare system and warrant further investigation.

• 出版日期2012