Prevalence of Brain Injuries among Children with Special Healthcare Needs

It is controversial whether it is necessary to carry out head computed tomography (CT) examination for children who had a traumatic brain injury (TBI) but are conscious (Glasgow Coma Scale (GCS) = 15). The present study explored the risk/predictive factors of positive CT results in children with mild closed head injury and GCS = 15. This was a retrospective study of children (0–18 years of age) with TBI and GCS = 15 and treated at the First People's Hospital of Wenling between 06/2013 and 06/2018. The outcome was a positive head plain CT result. Univariable and multivariable logistic regression analyses were carried out to determine the factors independently associated with positive CT results. A total of 279 children were included. The majority of the injured were boys (180/279, 64.5%). The top three causes of injury were traffic accidents (100/279, 35.8%), falling from height (92/279, 33.0%), and tumble (72/279, 25.8%). The top three clinical symptoms were headache (201/279, 72.0%), scalp hematoma (133/279, 47.7%), and nausea with or without vomiting (105/279, 37.6%). The multivariable analysis showed that scalp hematoma (OR = 3.040, 95%CI: 1.791–5.159, P < .0001), ear and nostril bleeding or periorbital soft tissue contusion (OR = 2.234, 95%CI: 1.087–4.590, P = .029), and nausea with or without vomiting (OR = 2.186, 95%CI: 1.255–3.810, P = .006) were independently associated with positive results of head CT. For children with TBI and GCS = 15, the factors independently associated with positive CT results are scalp hematoma, ear and nostril bleeding or periorbital soft tissue contusion, and nausea with or without vomiting.

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Prevalence of Brain Injuries among Children with Special Healthcare Needs

Cited by 2 publications

References 24 publications

Adverse childhood experiences and traumatic brain injury among adolescents: findings from the 2016–2018 National Survey of Children’s Health

Adverse childhood experiences and traumatic brain injury among adolescents: findings from the 2016–2018 National Survey of Children’s Health

Risk factors for positive brain CT scan in children with traumatic brain injury and GCS = 15

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