الفهرس | Only 14 pages are availabe for public view |
Abstract SUMMARY Traumatic brain injury (TBI) is considered the leading cause of death and disability in pediatric trauma and affects up to 280 out of 100,000 children worldwide. In developed countries, TBI is the most common cause of trauma-related death and disability in childhood. Several studies revealed multiple factors which were associated with poor outcomes in pediatric TBI. Age, Glasgow coma scale (GCS) scores, clinical features (vomiting, pupil size, etc.,), and injury mechanisms have been reported in various studies. However, the few studies that investigated predictive factors of TBI outcomes have revealed variable results. For instance, pupil size was only a significant predictor only in certain studies. The same issue applies for age, duration of loss of consciousness, the presence of hypothermia, and the presence of injury severity scores. In the ED phase of patients with moderate-severe head injury, treatment and diagnostic assessment are done according to the ATLS protocol. Primary survey including: airway and cervical spine protection, breathing, circulation, disability and exposure management then secondary survey and definitive treatment. In our study we aimed to: primary goal is to identify clinical criteria and radiological signs that could predict outcomes in pediatric patients who presenting with moderate and sever traumatic brain injury in Emergency Department, Tanta University Hospital and secondary goal is to help to establish a protocol for management of head injury in pediatrics . Patients and method: Our study was carried out on (150) patients who were admitted to Tanta University Emergency Hospital from the 1st of September 2020 to the |