@article{ref1,
title="Paediatric head injury and traumatic brain injury",
journal="Irish medical journal",
year="2020",
author="Ryan, E. and Bolger, T. and Barrett, M. J. and Blackburn, C. and Okafor, I. and McNamara, R. and Molloy, E. J.",
volume="113",
number="6",
pages="e94-e94",
abstract="Aim To determine prevalence of head injury presenting to paediatric emergency departments (PEDs) and characterise by demographics, triage category, disposition neuroimaging or re-attendance. <br><br>METHODS Presentations in 2014 and 2015, with diagnoses of head injury, intracranial bleed, skull fracture including single or re-attendances within 28 days post head injury to all national PEDs, were analysed. Demographics, triage score, imaging rate, admission, mechanisms and representation rate were recorded. <br><br>RESULTS Head injury was diagnosed in 13,392 of 224,860 (5.9%), median (IQR) age 3.9 (1.4 - 8.3) years. Regionally 3% of children <5 years attend each year. The total admitted/transferred was 10.8% (n=1460). Neuroimaging rate was 4.3% (n= 570). Falls predominated. Sport accounted for 12.2%. <br><br>CONCLUSION One in twenty children PED presentations are head injury, over half in preschool children. A sizeable number were symptomatic reflected by admission, transfer, imaging or re-attendance. Observational management was favoured over imaging reflected in the higher admission versus imaging rate.<p /> <p>Language: en</p>",
language="en",
issn="0332-3102",
doi="",
url="http://dx.doi.org/"
}