@article{ref1,
title="Head Trauma in Children Part 1: Admission, Diagnostics, and Findings",
journal="Journal of child neurology",
year="2010",
author="Kapapa, Thomas and König, Kathrin and Pfister, U. and Sasse, Michael and Woischneck, Dieter and Heissler, Hans and Rickels, Eckhard",
volume="25",
number="2",
pages="146-156",
abstract="The objective of this study is to describe and to determine the preclinical situation and early in-clinical situation, diagnostic findings, and factors influencing the outcome of severe head trauma in children. Records of 48 children (0-16 years) were analyzed during a 3-year interval. Correlations with the outcome (Glasgow Outcome Scale) were determined by focusing on different scales, clinical findings, biochemistry, and clinical course features. The initial shock index had a major relevance (P = .0089). Systolic blood pressure (P = .0002) and bradycardia (P = .035) were important factors. Assessing the severity of trauma according to the Glasgow Coma Score, the most accurate parameter for outcome is based on the detailed quality of &quot;eye opening&quot; (P = .0155). Pupillary motoricity at the accident site (P = .002) and emergency room (P = .0004) are strong predictors. Preclinical measurements of stabilization and oxygenation have the same impact as the in-clinical management.<p /><p>Language: en</p>",
language="en",
issn="0883-0738",
doi="10.1177/0883073809332698",
url="http://dx.doi.org/10.1177/0883073809332698"
}