Menace of childhood non-accidental traumatic brain injuries: A single unit report

Abstract

Background:Childhood traumatic brain injury (TBI) has high rate of mortality and morbidity worldwide. There are dearths of reports from developing countries with large paediatric population on trauma; neurosurgery trauma of nonaccidental origin is not an exemption. This study analysed menace of non-accidental TBI in the paediatric population from our center.Materials and Methods:This is a single unit, retrospective study of the epidemiology of non-accidental TBI in children starting from September, 2008 to March, 2014. The management outcomes of the epidemiology of the non-accidental TBI were analysed.Results:Total of 109 children age range from 0 (intra-natal) to 16 years with a mean of 5.8 ± 4.6 years (median, 5 years) were enrolled into the study. 34 (31.2%) were domestic violence, 26 (23.9%) street assaults, 16 (14.7%) were due to animal assaults and mishaps, 17 (15.6%) fall from heights. Seven (6.4%) cases of collapsed buildings were also seen during the period. Four (3.7%) industrial accidents and two (1.8%) were self-inflicted injuries. There were also three (2.8%) cases of iatrogenic TBI out of which two infants (1.8%) sustained TBI from cesarean section procedure while one patient (0.9%) under general anaesthesia felt from the operation bed resulting to severe TBI.Conclusion:Child abuse, unprotected child labour, parental/care-givers negligence are the main cause of nonaccidental TBI. Human right activists and government agents should be incorporated in curtailing the menace.

Caracterización epidemiológica del trauma craneoencefálico fatal en Cartagena, Colombia, 2007-2011

“…En Qatar, un estudio revela mortalidad del 11% en población adolescente y adultos jóvenes, debida principalmente a accidentes [18]. En países en vías de desarrollo también se ha convertido en un problema que ha suscitado interés, aunque en algunos casos no ha sido posible obtener estadísticas por problemas técnicos y de infraestructura [19][20][21][22]. En otros entornos -como, por ejemplo, algunos sectores rurales de la India-, alcanza una mortalidad del 6,4%, aunque reconocen que hay subregistro [23].…”

Childhood non-accidental traumatic brain injuries

“…The recent report on childhood non-accidental traumatic (NAT) brain injuries is very interesting. [ 1 ] Ibrahim et al . noted that ‘child abuse, unprotected child labour, and parental/care-givers negligence are the main cause of NAT brain injury.…”

“…noted that ‘child abuse, unprotected child labour, and parental/care-givers negligence are the main cause of NAT brain injury. [ 1 ] In fact, the described problem can be seen in any poor developing countries. How to detect early of the problem seems to be the critical points.…”