Cranio-encephalic trauma in children at the Emergency room of the Teaching Hospital- Gabriel Touré of Bamako
Mangané, M.; Almeimoune, A.; Diop, T.; Koita, S.; Dicko, H.; Sogoba, Y.; Dembélé, A.S.; Konaté, M.; Kassogué, A.; Amadou, I.; Doumbia, Y.; Doumbia, M.Z.; Bomou, Y.; Coulibaly, Y.; Diango, D.M.
Le Mali Medical 34(4): 6-10
2019
ISSN/ISBN: 1993-0836 PMID: 35897206 Document Number: 18301
Objective: To study the epidemiological, clinical and evolutionary aspects of head trauma in children at the emergency room. Method: This was a descriptive longitudinal study over 1 year from February 2016 to February 2017, which included any patient aged 0 to 15 years who had cranial trauma The data were collected from a pre-established questionnaire, analyzed by the software (SPSS 22.0, EXCEL and WORD 2010).The chi-square test or Fisher's exact test was used for the statistical analysis, a value<0.5 considered significant. Results: During the study period, 19825 consultations were performed at the emergency service of which 297 cranial trauma occurred in children, ie 1.5%. The male sex was predominant at 68% with a Sex ratio (H/F)=2.13. The 6-10 age group was the most represented with 39.4%. The students were the most represented with 58.9%. Road accidents were the predominant mechanism of injury with 54.9%. Civil protection transported 29% of the wounded. The motorcycle-pedestrian mechanism was more frequent at 27.6% (n=82). CT was severe in 17.8% (n=53) of patients. The photomotor reflex was abnormal in 29% (n=86). The trauma of the lower limb was associated in 39.3%. Craniosphalic CT with cervical scan was the most performed with 73.8%. The brain lesions were in the majority with 41.1%. The average care time was 9.82h in 54.2%. Exclusive medical treatment was adopted in 91.2% of cases. The tramadol and paracetamol combination was mainly used in analgesia with 78.1% of cases The evacuation of the hematoma was the most used surgical procedure with 65.4%. Hyperthermia was the most represented ACSOS (secondary cerebral aggression of systemic origin) with 6.7%. Death before care accounted for 5.4% (n=16), hospital death at 12.8% (n=38). The admission time to UE was 24-48h in 31.6% (n=168). Prognostic factors were related to Motor Photo Reflex (p=0.002), mechanism (p=0.01), Glasgow score
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