Traumatic head injuries in children: demographics, injury patterns, and outcomes in Saudi Arabia
Hussin Albargi1, Rayan Jafnan Alharbi2, Ateeq Almuwallad2
1Programme of Emergency Medical Service, College of Nursing and Health Science, Jazan University, Al Maarefah Rd, Jazan, 45142, Saudi Arabia. halbargi@jazanu.edu.sa.
Insights
Traumatic head injuries in children are a significant concern, with motor vehicle crashes being the leading cause. Schoolchildren aged 6-12 years experienced the highest mortality rates from these injuries.
Area of Science:
- Pediatric Traumatology
- Public Health
- Epidemiology
Background:
- Traumatic head injuries (THIs) are a major cause of death and intensive care unit (ICU) admission in children globally.
- Limited data exists on the incidence, characteristics, and impact of THIs on children in Saudi Arabia.
Purpose of the Study:
- To analyze the incidence, characteristics, and outcomes of traumatic head injuries in children in Saudi Arabia.
- To identify risk factors associated with ICU admission and mortality in pediatric THI cases.
Main Methods:
- Retrospective analysis of 466 pediatric THI cases (≤18 years) from the Saudi TraumA Registry (STAR) between August 2017 and December 2022.
- Data collected included demographics, injury mechanisms, type, and severity.
- Multivariable logistic regression was used to assess outcome associations with clinical factors.
Main Results:
- Motor vehicle crashes (MVCs) were the most common cause (51.9%), while falls predominated in infants (69.8%).
- Over half of the children required ICU admission, associated with higher injury severity scores, heart rate, hospital stay, respiratory assistance, and need for surgery.
- The overall mortality rate was 7.7%, with the highest rate (10.8%) observed in schoolchildren (6-12 years).
Conclusions:
- Children aged 6-12 years exhibited the highest mortality rates, linked to severe injuries and increased ICU admissions.
- Findings underscore the need for targeted preventive measures for MVCs in older children and enhanced trauma care for severe pediatric head injuries.
Background:
Traumatic head injuries (THIs) are among the leading cause of mortality and intensive care unit (ICU) admission in children worldwide. Most of the published literature concerning THIs arises predominantly from North America and Europe. However, only limited data about the incidence, characteristics and impact on children in Saudi Arabia exists.
Methods:
We conducted a retrospective analysis of THIs in children (≤ 18 years of age) using data from the Saudi TraumA Registry (STAR) from August 2017 to December 2022. Data included patient demographic characteristics, the mechanism, type and severity of injury. We used multivariable logistic regression to assess the association between outcomes and clinical factors.
Results:
We identified 466 children with THI. Most children were over six years of age (69.5%) and male (76.6%). Motor vehicle crashes (MVCs) were the most common cause of THIs (51.9%), with falls being more common in infants (69.8%). Over half of the children required ICU admission. Children with higher injury severity score, heart rate at presentation to the ED, hospital stay duration, respiratory assistance and need for surgery were more likely to require ICU admission. The overall mortality rate was 7.7%, with schoolchildren (age: 6-12 years) having the highest mortality rate (10.8%). Higher rates of ICU admission were associated with increases in the injury severity score (ISS), hospital stay duration, respiratory assistance and the need for surgery.
Conclusions:
Children in the 6-12 year age-group had the highest mortality rate, reflecting high injury severities associated with increased ICU admissions. These findings highlight the importance of targeting preventive measures for MVCs in older children and improving trauma care for severe cases.
Clinical Trial Number:
Not applicable.
