PMID- 24405988
OWN - NLM
STAT- MEDLINE
DCOM- 20150113
LR  - 20161125
IS  - 1445-2197 (Electronic)
IS  - 1445-1433 (Linking)
VI  - 84
IP  - 6
DP  - 2014 Jun
TI  - Epidemiology of traumatic head injury from a major paediatric trauma centre in 
      New South Wales, Australia.
PG  - 424-8
LID - 10.1111/ans.12445 [doi]
AB  - BACKGROUND: Traumatic brain injury (TBI) is common and is a leading cause of 
      presentations to emergency departments. Understanding the epidemiology of TBI can 
      aid in improving overall management and identifying opportunities for prevention. 
      Currently, there is a paucity of data on paediatric TBI in NSW. The purpose of 
      this study was to determine the demographics, causes, treatment and outcome of 
      TBI at The Children's Hospital at Westmead (CHW), a large trauma referral 
      paediatric hospital. METHODS: A retrospective chart review was conducted of 
      patients admitted to CHW emergency from 2006 to 2011 with a TBI. Patients who 
      presented to the emergency department and had a history of TBI with either 
      symptoms of concussion and/or positive computed tomography (CT) findings of head 
      injury were selected. Information regarding demographics, injury pattern, CT 
      findings, treatment and outcome were retrieved. RESULTS: Over the 6-year period, 
      there were 1489 presentations at the CHW. Of these, 65% were male and 35% were 
      female. The mean age was 7 years. A total of 93% were classified as mild, 1.5% as 
      moderate and 5.5% as severe. Sports and recreational injuries accounted for 26% 
      of all TBI presentations, while motor vehicle accidents (MVAs) accounted for 77% 
      of all TBI deaths. Sixty-two per cent of children underwent a CT brain, and of 
      those, 40% were normal. CONCLUSION: The majority of TBI are mild in nature, with 
      younger children and males at greatest risk. There was a low rate of operative 
      intervention and a high rate of good outcomes. Many injuries may be preventable 
      with the adaptation of better public health education programmes, particularly in 
      very young children and those related to MVAs.
CI  - (c) 2014 Royal Australasian College of Surgeons.
FAU - Amaranath, Jeevaka E
AU  - Amaranath JE
AD  - Douglas Cohen Department of Paediatric Surgery, The Children's Hospital at 
      Westmead, Sydney, New South Wales, Australia.
FAU - Ramanan, Mahesh
AU  - Ramanan M
FAU - Reagh, Jessica
AU  - Reagh J
FAU - Saekang, Eilen
AU  - Saekang E
FAU - Prasad, Narayan
AU  - Prasad N
FAU - Chaseling, Raymond
AU  - Chaseling R
FAU - Soundappan, Sannappa
AU  - Soundappan S
LA  - eng
PT  - Journal Article
DEP - 20140109
PL  - Australia
TA  - ANZ J Surg
JT  - ANZ journal of surgery
JID - 101086634
SB  - IM
CIN - ANZ J Surg. 2014 Dec;84(12):995. PMID: 25444429
MH  - Adolescent
MH  - Age Distribution
MH  - Brain Injuries/*diagnostic imaging/*epidemiology/therapy
MH  - Child
MH  - Child, Preschool
MH  - Cohort Studies
MH  - Combined Modality Therapy
MH  - Confidence Intervals
MH  - Female
MH  - Glasgow Coma Scale
MH  - Hospitals, Pediatric
MH  - Humans
MH  - Infant
MH  - Infant, Newborn
MH  - Injury Severity Score
MH  - Male
MH  - New South Wales/epidemiology
MH  - Prognosis
MH  - Retrospective Studies
MH  - Sex Distribution
MH  - Survival Rate
MH  - Tomography, X-Ray Computed/methods
MH  - *Trauma Centers
OTO - NOTNLM
OT  - epidemiology
OT  - paediatric
OT  - traumatic head injury
EDAT- 2014/01/11 06:00
MHDA- 2015/01/15 06:00
CRDT- 2014/01/11 06:00
PHST- 2013/10/07 00:00 [accepted]
PHST- 2014/01/11 06:00 [entrez]
PHST- 2014/01/11 06:00 [pubmed]
PHST- 2015/01/15 06:00 [medline]
AID - 10.1111/ans.12445 [doi]
PST - ppublish
SO  - ANZ J Surg. 2014 Jun;84(6):424-8. doi: 10.1111/ans.12445. Epub 2014 Jan 9.