The purpose of this study is to report the outcomes of 73 children, 15 years of age or younger, who were consecutively admitted to Chungnam National University Hospital over a 5-year period with nonpenetrating severe brain injury and to compare
these
results with reports from other centers in a community with well trained paramedic care and an excellent transfer system.
In addition, clinical analysis of the relationship between age, initial GCS score, coma duration, clinical findings, intracranial lesions and outcome have been studied.
@ES The results were as follows :
@EN 1. The average age was 8.7 years and occured predominantly in males(2.3 ; 1 ratio).
2. The most common cause of brain injury was motor vehicle accident(84.9%).
3. The number of patients with intracranial hematoma was 25(34.2%) and patients with acute subdural hematoma showed the poorest outcome.
4. Seventeen patients(23.3%) died, fourty-six patients(64%) recovered functionally and ten patients (13.7%) showed a nonfunctional outcome.
5. A significant relationship was found between outcome, initial GCS score and bilateral pupillary abnormalities. However, the age, duration of coma, other clinical findings and intracranial lesions, except acute subdural hematoma, did not
relate
to
the outcome.
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