Do children with Glasgow 13/14 could be identified as mild traumatic brain injury?

OBJECTIVE: To identify in mild head injured children the major differences between those with a Glasgow Coma Scale (GCS) 15 and GCS 13/14. METHOD: Cross-sectional study accomplished through information derived from medical records of mild head injured children presented in the emergency room of a Pediatric Trauma Centre level I, between May 2007 and May 2008. RESULTS: 1888 patients were included. The mean age was 7.6±5.4 years; 93.7% had GCS 15; among children with GCS 13/14, 46.2% (p<0.001) suffered multiple traumas and 52.1% (p<0.001) had abnormal cranial computed tomography (CCT) scan. In those with GCS 13/14, neurosurgery was performed in 6.7% and 9.2% (p=0.001) had neurological disabilities. CONCLUSION: Those with GCS 13/14 had frequently association with multiple traumas, abnormalities in CCT scan, require of neurosurgical procedure and Intensive Care Unit admission. We must be cautious in classified children with GCS 13/14 as mild head trauma victims.

Bibliographic Details

Main Authors:	Melo,José Roberto Tude, Lemos-Júnior,Laudenor Pereira, Reis,Rodolfo Casimiro, Araújo,Alex O, Menezes,Carlos W, Santos,Gustavo P, Barreto,Bruna B, Menezes,Thomaz, Oliveira-Filho,Jamary
Format:	Digital revista
Language:	English
Published:	Academia Brasileira de Neurologia - ABNEURO 2010
Online Access:	http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2010000300010
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