Emergency Medicine International / 2020 / Article / Tab 2 / Research Article
Pattern and Outcome of Pediatric Traumatic Brain Injury at Hawassa University Comprehensive Specialized Hospital, Southern Ethiopia: Observational Cross-Sectional Study Table 2 Pattern and mechanism of pediatric traumatic brain injury at HUCSH from September 2017 to September 2018.
Characteristics of traumatic brain injury Subclassification N (%)Mechanism of injury Road traffic accident 144 (45.4) Falls 104 (32.8) Fighting 40 (12.6) Animal kick or bite 28 (8.8) Assault/child abuse 1 (0.3) Time of arrival after injury <24 hours 258 (81.4) 1–3 day 31 (9.8) >3 day 28 (8.8) Place of occurrence Home 29 (9.1) Outdoor 144 (45.4) Occupant in vehicle 24 (7.6) Pedestrian 120 (37.9) Loss of consciousness at presentation No 228 (71.9) Yes 89 (28.1) Convulsion at presentation No 291 (91.8) Yes 26 (8.2) Signs of increased ICP No 257 (81.1) Yes 60 (18.9) Sign and symptom of increased ICP Vomiting 16 (5.1) Hypertension 22 (6.9) Decreased mentation 22 (6.9) Pupillary sign Unilaterally fixed 22 (6.9) Symmetrically fixed 3 (0.9) Midsized and reactive 277 (87.4) Bilaterally dilated 15 (4.8) Severity of TBI Mild TBI 231 (72.9) Moderate TBI 61 (19.2) Severe TBI 25 (7.9) Head CT and scan finding Normal 50 (15.8) Skull fracture 94 (29.7) DSF with contusion, DAI+, intracranial bleeding 36 (11.4) Contusion/DAI 30 (9.5) Intracranial bleeding 14 (4.4) Not done 93 (29.3) Skull X-ray finding Normal 77 (24.3) Linear skull fracture 27 (8.5) Depressed skull fracture 72 (22.7) Not done 141 (44.5) Hypotension on admission No 308 (97.2) Yes 9 (2.8) Hyperglycemia on admission No 297 (93.7) Yes 20 (6.3)
Intracranial pressure.
Traumatic brain injury.
Depressed skull fracture, +diffuse axonal injury. CT: computed tomography