Do children with Glasgow 13/14 could be identified as mild traumatic brain injury?

Arquivos de Neuro-Psiquiatria

José Roberto Tude Melo¹  Laudenor Pereira Lemos-júnior¹  Rodolfo Casimiro Reis¹  Alex O Araújo¹  Carlos W Menezes¹  Gustavo P Santos¹  Bruna B Barreto¹  Thomaz Menezes¹  Jamary Oliveira-filho¹ 

[1] ,UFBA PPgMS

关键词: adolescents;    brain injuries;    child;    Glasgow Coma Scale;    head trauma;    prognosis;    adolescente;    injúria cerebral;    criança;    Escala de Coma de Glasgow;    traumatismos craniocerebrais;    prognóstico;   

DOI  :  10.1590/S0004-282X2010000300010

来源: SciELO

【 摘 要 】

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±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.

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