TY  - JOUR
PY  - 2010//
TI  - Head Trauma in Children Part 1: Admission, Diagnostics, and Findings
JO  - Journal of child neurology
A1  - Kapapa, Thomas
A1  - König, Kathrin
A1  - Pfister, U.
A1  - Sasse, Michael
A1  - Woischneck, Dieter
A1  - Heissler, Hans
A1  - Rickels, Eckhard
SP  - 146
EP  - 156
VL  - 25
IS  - 2
N2  - 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 "eye opening" (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>
LA  - en
SN  - 0883-0738
UR  - http://dx.doi.org/10.1177/0883073809332698
ID  - ref1
ER  -