TY - JOUR PY - 2010// TI - Do children with Glasgow 13/14 could be identified as mild traumatic brain injury? JO - Arquivos de Neuro-Psiquiatria A1 - Melo, Jose Roberto Tude A1 - Lemos-Júnior, Laudenor Pereira A1 - Reis, Rodolfo Casimiro A1 - Araújo, Alex O. A1 - Menezes, Carlos W. A1 - Santos, Gustavo P. A1 - Barreto, Bruna B. A1 - Menezes, Thomaz A1 - Oliveira-Filho, Jamary SP - 381 EP - 384 VL - 68 IS - 3 N2 - OBJECTIVE: To identify in mild head injured children the major differences between those with a Glasgow Coma Scale (GCS) 15 and GCS 13/14. METHOD: Cross-sectional study accomplished through information derived from medical records of mild head injured children presented in the emergency room of a Pediatric Trauma Centre level I, between May 2007 and May 2008. RESULTS: 1888 patients were included. The mean age was 7.6 + or - 5.4 years; 93.7% had GCS 15; among children with GCS 13/14, 46.2% (p<0.001) suffered multiple traumas and 52.1% (p<0.001) had abnormal cranial computed tomography (CCT) scan. In those with GCS 13/14, neurosurgery was performed in 6.7% and 9.2% (p=0.001) had neurological disabilities. CONCLUSION: Those with GCS 13/14 had frequently association with multiple traumas, abnormalities in CCT scan, require of neurosurgical procedure and Intensive Care Unit admission. We must be cautious in classified children with GCS 13/14 as mild head trauma victims.
Language: en
LA - en SN - 0004-282X UR - http://dx.doi.org/ ID - ref1 ER -