Paediatric traumatic brain injury

Coulter, Ian C.; Forsyth, Rob

doi:10.1097/mop.0000000000000820

Cited by 18 publications

(7 citation statements)

References 68 publications

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“…Transplant surgery was excluded due to concerns for the confounding of risk for psychiatric morbidity conferred by organ transplants owing to psychiatric adverse effects of immunosuppressant medications (Heinrich & Marcangelo, 2009 ) and the severity of chronic illness before the transplant (Olbrisch et al, 2002 ). Head injuries were deliberately excluded from this review since brain-organic damage and the resulting psychopathological consequences cannot be clearly delineated (e.g., cognitive problems after traumatic brain injury are associated with behavioral difficulties; Coulter & Forsyth, 2019 ).…”

Section: Methodsmentioning

confidence: 99%

Pediatric Medical Traumatic Stress (PMTS) following Surgery in Childhood and Adolescence: a Systematic Review

Stanzel

Sierau

2021

Journ Child Adol Trauma

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The purpose of the present review was to systematically review, synthesize and quantify prevalence rates of subclinical and clinical psychological symptoms in children and adolescents who have undergone surgery. Systematic literature searches were conducted twofold in April 8, 2020 and March 7, 2021 in PsycInfo and PubMed in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Manuscripts were screened against eligibility criteria and were included if they investigated psychological symptoms in children or adolescents (age between 1 to 21 years at the time of study) who were hospitalized for pediatric surgery. Means and standard deviations weighted by sample size were calculated. Eleven articles met inclusion criteria. The review revealed that a small but substantial number of children and adolescents are at an elevated risk for postoperative psychological symptoms and disorders. Up to 13% had symptoms consistent with a diagnosis of a posttraumatic stress disorder, 6% to 8% exhibited elevated symptoms of depression or anxiety, and about 25% showed internalizing and externalizing symptoms. This review provides preliminary evidence that children and adolescents experience significant psychological distress and posttraumatic stress symptoms after pediatric surgery. Apart from better training of clinicians, prevention, early psychological screening and psychosocial care in surgical wards of hospitals are recommended. Well-designed studies of high methodological quality are necessary to replicate existing findings and provide a broader base of evidence.

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Section: Methodsmentioning

confidence: 99%

Pediatric Medical Traumatic Stress (PMTS) following Surgery in Childhood and Adolescence: a Systematic Review

Stanzel

Sierau

2021

Journ Child Adol Trauma

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“…The diagnosis of concussion in children is mainly based on a combination of symptoms after TBI. Various symptoms such as headache, fatigue, irritability, anxiety, photophobia, dizziness, amnesia, and disorientation can be caused by pediatric concussion [ 6 ]. Conventional neuroimaging (CT and MRI) findings are typically normal in pediatric concussion and are used to determine severe brain injury and edema that require emergent neurosurgical intervention.…”

Section: Concussionmentioning

confidence: 99%

“…Pediatric traumatic brain injury (TBI) remains a major public health concern and causes significant morbidity and mortality. With the advancement of social life, minor pediatric TBI occurs more frequently than ever [ 6 ]. Since pediatric minor TBI differs from adult minor TBI in terms of the mechanism of trauma, prognosis, and mortality, it is important to identify the characteristics of pediatric minor TBI for its proper treatment and prognosis.…”

Section: Introductionmentioning

confidence: 99%

Pediatric Minor Traumatic Brain Injury : Growing Skull Fracture, Traumatic Cerebrospinal Fluid Leakage, Concussion

Choi

Kim

2022

J Korean Neurosurg Soc

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Traumatic brain injury (TBI) is a major public health issue that causes significant morbidity and mortality in the pediatric population. Pediatric minor TBIs are the most common and are widely underreported because not all patients seek medical attention. The specific management of these patients is distinct from that of adult patients because of the different physiologies in these age groups. This article focuses on minor TBIs, particularly growing skull fractures, traumatic cerebrospinal fluid leakage, and concussion.

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“…Pediatric traumatic brain injury (TBI) is a global health problem as an important cause of disability and death (1,2). The majority of emergency department admissions due to pediatric head trauma consist of cases of mild TBI, which is defined as a Glasgow Coma Scale (GCS) score of 13-15 within the first 24 hours (1,3).…”

Section: Introductionmentioning

confidence: 99%

Hafif Travmatik Beyin Yaralanması olan Çocuklarda Rutin Olarak Çekilen İkinci Bilgisayarlı Beyin Tomografisinin Radyolojik ve Klinik Sonuçları

Çağlar

Akgül

et al. 2021

Anadolu Kliniği Tıp Bilimleri Dergisi

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In this study, we aimed to assess how the routine use of a second head computed tomography (CT) scan contributed to therapeutic approach in children diagnosed with mild traumatic brain injury (TBI). Methods: The retrospective study included children with mild TBI who had traumatic lesions on initial head CT and underwent a second CT scan as performed routinely at our pediatric emergency department between August 2010 and August 2014. Patient data (age and sex, mechanism of trauma, symptoms, physical examination findings, results of the first and second head CT scans, time between the two scans, and medical and surgical treatments) were recorded. Results: A total of 113 patients met the inclusion criteria and 57.5% of them were male. The median patient age was 28 (interquartile range: 6.5-80) months. Seventy-two (63.7%) patients were asymptomatic on admission and there was no finding on physical examination in 54 (47.8%) patients. Of all traumatic lesions, 64.9% were linear skull fracture, 13.7% subdural hematoma, 13% contusion, 3.8% subarachnoid hemorrhage, 3% epidural hematoma, 0.8% intraparenchymal hemorrhage, and 0.8% depressed skull fracture. The routine second head CT scans were performed after 11±2.5 hours and revealed progression in 6.2% of the patients. No subsequent change in medical treatment or neurosurgical intervention occurred. Conclusion: Although the progression rate in routinely repeated CT at our emergency department was 6.2%, there was no change in the medical and neurosurgical interventions performed.

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Paediatric traumatic brain injury

Cited by 18 publications

References 68 publications

Pediatric Medical Traumatic Stress (PMTS) following Surgery in Childhood and Adolescence: a Systematic Review

Pediatric Medical Traumatic Stress (PMTS) following Surgery in Childhood and Adolescence: a Systematic Review

Pediatric Minor Traumatic Brain Injury : Growing Skull Fracture, Traumatic Cerebrospinal Fluid Leakage, Concussion

Hafif Travmatik Beyin Yaralanması olan Çocuklarda Rutin Olarak Çekilen İkinci Bilgisayarlı Beyin Tomografisinin Radyolojik ve Klinik Sonuçları

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