Publication:

Factors affecting head trauma in children

Background To study the epidemiological factors of head trauma in paediatric patients at a tertiary care centre.

Methods 60 consecutive admitted patients of head trauma were studied and analysed as per set proforma. The study included details pertaining to time since injury, average duration of stay, age distribution, sex distribution, GCS at presentation, mode of injury, associated injuries, CT findings, type of management and outcome. The results were tabulated and analysed.

Results The average time of presentation since injury was 3 hours, average duration of stay was 4 days, 1-5 years was the most commonly affected age group. GCS at presentation was 15 in most cases, fall from height was the most common mode of injury, Contused lacerated wounds were the commonest external injuries, parietal bone fracture was the most common CT scan finding, 96% improved with conservative management.

Conclusions Head injury occurs commonly in preschool children due to fall from unprotected roof tops. The prognosis in majority of the cases is excellent.