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Assessing Changes in Synaptic Plasticity Using an Awake Closed-Head Injury Model of Mild Traumatic Brain Injury
Published on: January 20, 2023
Outcome of head trauma
1Department of Neurology, Rafsanjan University of Medical Sciences, Rafsanjan, Iran. F_iranmanesh@rums.ac.ir
Insights
Head trauma disproportionately affects Iranian boys, with motor accidents being a primary cause. Most children recover fully, but imaging reveals abnormalities in some cases.
Area of Science:
- Pediatric Traumatology
- Neuroimaging in Children
- Public Health in Iran
Background:
- Head trauma is a significant cause of morbidity and mortality in children.
- Understanding the epidemiology and outcomes of pediatric head trauma is crucial for developing targeted interventions.
- Previous studies have highlighted varying etiological factors and outcomes globally.
Purpose of the Study:
- To investigate the incidence, causes, and outcomes of head trauma in Iranian children.
- To identify demographic and clinical factors associated with head trauma in this population.
- To analyze neuroimaging findings in pediatric head trauma cases.
Main Methods:
- A nonrandomized cross-sectional study included 380 pediatric patients (<18 years) admitted for head trauma.
- Skull X-rays and brain CT scans were performed under expert supervision.
- Patients were followed until discharge or death, with outcomes assessed by pediatricians.
Main Results:
- The male to female ratio was 3:1, with the highest incidence in the 7-12 year age group.
- Motor vehicle accidents accounted for 72% of admissions, followed by falls (11%).
- 82% of patients recovered completely; abnormal findings were noted in 12% of skull X-rays and 17% of brain CT scans.
Conclusions:
- Head trauma demonstrates higher prevalence and mortality in males compared to females in this cohort.
- Motor accidents are a more frequent cause of head trauma in Iran than reported in Western countries.
- Implementing specific preventive measures is essential to mitigate the burden of pediatric head trauma.
Objective:
To investigate the outcome of head trauma and its related factors in Iranian children.
Methods:
In a nonrandomized cross-sectional study 380 patients younger than 18-yr-old admitted to the surgery ward of Ali-E-Bne-Abitaleb Hospital, Rafsanjan due to head trauma were included. In all of them, skull X-ray and brain CT scan were performed under the supervision of the neurologist and neurosurgeon according to special indications. Patients were followed till discharge from the hospital or death. At the time of discharge, the patients were evaluated by pediatrician. Demographic information and imaging findings were statistically analyzed using SPSS software.
Results:
Male to female ratio was 3:1 Most cases were in the age range of 7-12 year. Seventy two percent and 11% of patients' admission was due to motor accidents and falling, respectively. Eighty two percent of patients were discharged with complete recovery; also 12% of skull-radiographs and 17% of brain CT scans were abnormal.
Conclusion:
Head trauma had more prevalence and mortality in male than female. Also in the present study, motor accidents as an etiology of head trauma was more frequent than the western countries, which demands special precautions to decrease this problem.
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