medigraphic.com
ISSN 0035-0052 (Print)

2008, Number 4

<< Back Next >>

Rev Mex Pediatr 2008; 75 (4)

Prognostic indicators in severe traumatic brain injury in children, in intensive care unites

Sánchez RJJ, Carbajal REJ, Chávez RM, Rosa MV

Language: Spanish
References: 18
Page: 151-154
PDF size: 81.42 Kb.


ABSTRACT

Objective. To analyze in severe head injuries patients the prognostic value of issues related in the routine management in Critical Care wards.
Material and methods. Retrospective and comparative study of 265 children with head severe head injuries (surviving children vs no surviving children) according to the cerebral perfusion pressure (IPP), Glasgow Coma Scale (GCS) and other evaluations done in the intensive therapy care unit of the hospital.
Results. In children with IPP ‹ 20 and GCS › 8 the probability of death were significantly higher IPP (p = 0.04) and GCE (p = 0.03).
Conclusions. The IPP and the GCS in severe head injuries children are good indicators of prognosis.


REFERENCES

  1. Pleguezuelo RE, Quiroz VO, Rodríguez BD et al. Monitoreo neurointensivo en pediatría (II): Pruebas dinámicas. Rev Cubana Pediatr 2001; 73(2): 123-30.

  2. Centers for Disease Control. Division of Injury Control and Center for Environmental Health and Injury Control. Childhood injuries in the United States. Am J Dis Child 1990; 144: 627-46.

  3. Anderson VA, Catropa C, Hariton F, Morse S, Rosenfeld JV. Identifying factors contributing to child and family outcome 30 months after traumatic brain injury in children. J Neurol Neurosurg Psychiatry 2005; 76: 401-8.

  4. Kochanek PM, Clark RS, Ruppel RA, Adelson PD, Bell MJ, Whalen MJ et al. Biochemical, cellular and molecular mechanisms in the evolution of secondary damage after severe traumatic brain injury in infants and children; lessons learned from the bedside. Pediatr Crit Care Med 2000; 1: 4-9.

  5. Fuhrman BP, Zimmerman J. Pediatric Critical Care. 3rd ed. St Louis: Mosby, 2006: 1595-617.

  6. Oregon Health & Science University. Guías para el manejo médico en la etapa aguda del Traumatismo encéfalo-craneano grave en infantes, niños y adolescentes (versión español), Rosario, Argentina 2005: 54-62.

  7. Oregon Health & Science University. Guías para el manejo médico en la etapa aguda del traumatismo encéfalo-craneano grave en infantes, niños y adolescentes (versión español), Rosario, Argentina. 2005: 69-75.

  8. Bullock R, Chesnut RM, Clifton G, Ghajar J, Marion DW, Narayan RK et al. Guidelines for the management of severe traumatic brain injury. J Neurotrauma 2000; 17: 451-3.

  9. O’Sullivan MG, Statham PF, Jones PA, Miller JD, Dearden NM, Piper IR et al. Role of ICP monitoring in severely head injured patients without signs of intracranial hypertension on initial computerized tomography. J Neurosurg 1994; 80: 46-50.

  10. Ritter AM, Muizelaar JP, Barnes T, Choi S, Fatouros P, Ward J et al. Brain item blood flow, papillary response, and outcome in patients with severe head injuries. Neurosurgery 1999; 44: 491-8.

  11. Miller JD, Butterworth JF, Miller JD, Butterworth JF, Gudeman SK, Selhorst JB et al. Further experience in the management of severe head injury. J Neurosurg 1981; 54: 289-99.

  12. Pfenninger J, Kaiser G, Lutschg J, Sutter M. Treatment and outcome of the severely head injured child. Intensive Care Med 1983; 9: 13-6.

  13. Esparza J, Portillo JM, Sarabia M. Outcome in children with severe head injuries. Chile Nerv Syst 1985; 1: 109-14.

  14. Downard C, Hulka F, Mullins RJ, Piatt J, Chesnut R, Quint P et al. Relationship of cerebral perfusion pressure and survival in pediatric brain injured patients. Trauma 2000; 49: 654-8.

  15. Barzillay Z, Augarten A, Sagy Y, Shahar E, Yahav Y, Boichis H et al. Variables affecting outcome from severe brain injury in children. Intensive Care Med 1988; 14: 417-21.

  16. Elías-Jones AC, Punt JA, Turnbull AE, Jaspan T. Management and outcome of severe head injuries in the Trent region 1985-90. Arch Dis Child 1992; 67: 1430-5.

  17. Kaiser G, Pfenninger J. Effect of neurointensive care upon outcome following severe head injuries in childhood. A preliminary report. Neuropediatrics 1984; 15: 68-75.

  18. Tullous M, Walker ML, Wright LC. Evaluation and treatment of head injuries in children. Pediatric Critical Care. St. Louis: Mosby-Yearbook 1992.




2020     |     www.medigraphic.com