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Minimal and mild paediatric brain injury: a 3-year cohort of consecutive presentations
Remo Nunzio Russo1, James Rice, Phei Ming Chern
1Women's and Children's Health Network, Women's and Children's Hospital Campus, King William Road, North Adelaide, South Australia. ray.russo@health.sa.gov.au
Objective:
To determine the number of children with minimal and mild traumatic brain injury (TBI) and their demographic factors, causes, associated signs/symptoms and management.
Methods:
A cross-sectional analysis of consecutive presentations to a tertiary paediatric centre.
Results:
There were 2043 presentations of minimal and mild TBI over 3 years (minimal TBI = 79.7% [n = 1628]; mild TBI = 20.3% [n = 415]). Mean age was 5.12 years (SD = 5.14) with children ≤3 years comprising 53.2% (n = 1086). There was a bimodal distribution in mild TBI with peaks at 0-2 and 13-15 years. The male-to-female ratio was 1.6:1. Only 34.6% of GCS scores were documented. Falls caused most injury. Overall, 6.3% (n = 129) required hospital admission and 29.1% (n = 594) were reviewed clinically.
Conclusion:
Minimal and mild TBI is common, representing a significant burden on individuals, families and healthcare providers. High rates of follow-up impact on the healthcare system and warrant further investigation.
