TY - JOUR ID - 45370 TI - Mortality And Morbidity of Severe Traumatic Brain Injuries; A Pediatric Intensive Care Unit Experience Over 15 Years JO - Bulletin of Emergency And Trauma JA - BEAT LA - en SN - 2322-2522 AU - Hon, Kam Lun Ellis AU - Huang, Szewei AU - Poon, Wai Sang AU - Cheung, Hon Ming AU - Ip, Patrick AU - Zee, Benny AD - Y1 - 2019 PY - 2019 VL - 7 IS - Issue 3 SP - 256 EP - 262 KW - Mortality KW - Length of stay KW - PICU KW - Traumatic brain injury KW - Falls KW - Road traffic injury DO - 10.29252/beat-070308 N2 - Objective: To determine the mortality, morbidity, types of intracranial hemorrhages, and factors associated with length of stay (LOS) associated with accidental traumatic brain injury (TBI) at a pediatric intensive care unit (PICU) of a regional trauma center in an Asian city.Methods: This study is a retrospective review of types of head injury, mortality and morbidity demographics of patients admitted to a PICU with TBI. All patients with accidental TBI were included, namely road traffic injury (RTI) and fall, and their demographics compared. Non-accidental injuries (NAI) were excluded.Results: 95 children (78% males) were admitted to a PICU with RTI or falls from 2002 to 2017. They accounted for 3.7% of PICU admissions. Comparing with falls, victims of RTI were older (p<0.001) and more likely to suffer from skull fracture (p=0.017). There were 4 deaths with falls (6.8%) but none with RTI. Subarachnoid hemorrhages, extradural hemorrhages, the use of mechanical ventilation, inotropes and neurological supports were associated with longer LOS in PICU in these injuries (p<0.001).Conclusion: A longer PICU LOS is associated with extradural and subarachnoid hemorrhages, usage of inotropes, mechanical ventilation and neurological supports in falls and RTI. Three-quarters of victims are males. Preventive health education should be especially directed to boys to reduce severe TBI in this Asian city. UR - https://beat.sums.ac.ir/article_45370.html L1 - https://beat.sums.ac.ir/article_45370_b54ad8b1a0fd6da8eacea83d67a6a216.pdf ER -