دورية أكاديمية
Epidemiology of Pediatric Traumatic Brain Injury at Sylvanus Olympio University Hospital of Lomé in Togo.
| العنوان: | Epidemiology of Pediatric Traumatic Brain Injury at Sylvanus Olympio University Hospital of Lomé in Togo. |
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| المؤلفون: | Egbohou P; Anesthesiology and Intensive Care Department of Sylvanus Olympio University Hospital, University of Lome, Lome, Togo., Mouzou T; Anesthesiology and Intensive Care Department of Sylvanus Olympio University Hospital, University of Lome, Lome, Togo., Tchetike P; Anesthesiology and Intensive Care Department of Sylvanus Olympio University Hospital, University of Lome, Lome, Togo., Sama HD; Anesthesiology and Intensive Care Department of Sylvanus Olympio University Hospital, University of Lome, Lome, Togo., Assenouwe S; Anesthesiology and Intensive Care Department of Sylvanus Olympio University Hospital, University of Lome, Lome, Togo., Akala-Yoba G; Anesthesiology and Intensive Care Department of Sylvanus Olympio University Hospital, University of Lome, Lome, Togo., Randolph L; Anesthesiology and Intensive Care Department of Sylvanus Olympio University Hospital, University of Lome, Lome, Togo., Tomta K; Anesthesiology and Intensive Care Department of Sylvanus Olympio University Hospital, University of Lome, Lome, Togo. |
| المصدر: | Anesthesiology research and practice [Anesthesiol Res Pract] 2019 Aug 01; Vol. 2019, pp. 4038319. Date of Electronic Publication: 2019 Aug 01 (Print Publication: 2019). |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Hindawi Pub. Corp Country of Publication: United States NLM ID: 101532982 Publication Model: eCollection Cited Medium: Print ISSN: 1687-6962 (Print) Linking ISSN: 16876962 NLM ISO Abbreviation: Anesthesiol Res Pract Subsets: PubMed not MEDLINE |
| أسماء مطبوعة: | Original Publication: New York, N.Y. : Hindawi Pub. Corp., 2008- |
| مستخلص: | Introduction: Severe pediatric traumatic brain injury (pTBI) is a leading cause of disability and death in children worldwide. Children victims of pTBI are admitted to the Sylvanus Olympio University Hospital (SOUH) at the multipurpose Intensive Care Unit (ICU). We aimed in this study to describe the epidemiologic characteristics and outcomes of pTBI patients admitted in this ICU. Patients and Methods: This study was conducted at the ICU of SOUH of Lome. It was a retrospective study based on patients' records from 0 to 15 years old admitted during the period from 1 January 2012 to 30 June 2018 (5 years and 6 months). Results: We recorded 91 pTBI included in the study. The mean age was 7.7 ± 4.3 years. The male predominated with 67.0%. Road traffic accidents were the most common cause (79.1%), followed by falls (19.8%). The average pediatric Glasgow Coma Scale (pGCS) was 6.6 ± 1.4, with a mean Injury Severity Score (ISS) of 23.1 ± 8.4. The most common brain injuries found in the CT scan were brain edema (72.9%), skull fracture (69.5%), and brain contusion (55.9%). The average duration under mechanical ventilation was 2.1 ± 2.9 days, and the mean ICU stay was 4.9 ± 4.4 days. Overall mortality was 31.9% (29 cases). Factors significantly associated ( p < 0.05) with death were hypotension (51.7%), anemia (43.1%), hyperthermia (46.7%), GCS < 6 (64%), and ISS > 20 (48.9%). Conclusion: pTBI mortality remains high in SOUH ICU. Factors associated with mortality were secondary systemic insults, worse GCS < 6, and ISS > 20. Competing Interests: The authors declare that they have no conflicts of interest. |
| References: | Crit Care Med. 2002 Nov;30(11 Suppl):S393-401. (PMID: 12528780) Pediatr Crit Care Med. 2006 Sep;7(5):461-7. (PMID: 16885795) Arch Surg. 1991 Oct;126(10):1237-41; discussion 1242. (PMID: 1929824) Epidemiol Rev. 2010;32:110-20. (PMID: 20570956) Lancet Neurol. 2013 Jan;12(1):45-52. (PMID: 23200264) Brain Inj. 2013;27(3):262-72. (PMID: 23438347) Ann Saudi Med. 2013 Jan-Feb;33(1):52-6. (PMID: 23458942) PLoS One. 2013 Jul 04;8(7):e68636. (PMID: 23861931) Am J Public Health. 2014 Mar;104(3):e79-84. (PMID: 24432924) Neurocrit Care. 2014 Dec;21(3):505-13. (PMID: 24798696) Int J Inj Contr Saf Promot. 2017 Mar;24(1):69-77. (PMID: 26239625) World Neurosurg. 2016 Jul;91:497-509.e1. (PMID: 27018009) Neurol Med Chir (Tokyo). 2017 Feb 15;57(2):82-93. (PMID: 28111406) Br J Neurosurg. 1989;3(5):533-9. (PMID: 2818846) Prehosp Disaster Med. 2017 Aug;32(4):424-430. (PMID: 28463097) Prehosp Disaster Med. 2017 Dec;32(6):593-595. (PMID: 28797317) World J Emerg Surg. 2017 Nov 7;12:48. (PMID: 29151847) World J Surg. 2018 Aug;42(8):2293-2302. (PMID: 29349487) Neurocrit Care. 2018 Jun;28(3):302-313. (PMID: 29476389) Front Pediatr. 2018 Jun 04;6:155. (PMID: 29915778) Childs Brain. 1984;11(6):387-97. (PMID: 6510046) J Trauma. 1993 Feb;34(2):216-22. (PMID: 8459458) J Pediatr Surg. 1993 Mar;28(3):310-4; discussion 315-6. (PMID: 8468638) |
| تواريخ الأحداث: | Date Created: 20190831 Latest Revision: 20220410 |
| رمز التحديث: | 20240829 |
| مُعرف محوري في PubMed: | PMC6701323 |
| DOI: | 10.1155/2019/4038319 |
| PMID: | 31467523 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1687-6962 |
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| DOI: | 10.1155/2019/4038319 |