@article{ref1,
title="Comparison of same and different level height falls on subsequent midline shift in pediatric traumatic brain injury",
journal="Pediatric emergency care",
year="2022",
author="Sullivan, Brittany G. and Grigorian, Areg and Lekawa, Michael and Dolich, Matthew O. and Schubl, Sebastian D. and Barrios, Cristobal and Joe, Victor C. and Borazjani, Boris and Nahmias, Jeffry",
volume="38",
number="5",
pages="e1262-e1265",
abstract="OBJECTIVES: Up to 44% of pediatric traumatic brain injury occurs as a result of a fall. We hypothesized that a fall from height is associated with higher risk for subsequent midline shift in pediatric traumatic brain injury compared with a fall from same level. <br><br>METHODS: The Pediatric Trauma Quality Improvement Program 2016 was queried for kids younger than 16 years with an injury in the abbreviated injury scale for the head after a fall. Patients with midline shift were identified. A logistic regression model was used for analysis. <br><br>RESULTS: The risk of a midline shift was lower in those with a fall from a height (odds ratio, 0.64; 95% confidence interval, 0.46-0.91, P = 0.01). In kids older than 4 years, there was no association between the level of height of the fall and subsequent midline shift (P = 0.62). The risk for midline shift in kids younger than 4 years after a fall from same level was lower (odds ratio, 0.40; 95% confidence interval, 0.24-0.67; P = 0.001). <br><br>CONCLUSIONS: In kids with traumatic brain injury, trauma activations due to falls from the same level are associated with a 2.5-fold higher risk of subsequent midline shift, compared with falling from height.<p /> <p>Language: en</p>",
language="en",
issn="0749-5161",
doi="10.1097/PEC.0000000000002588",
url="http://dx.doi.org/10.1097/PEC.0000000000002588"
}