• María G Vázquez-Solís, Alberto I Villa-Manzano, Dalia I Sánchez-Mosco, José de Jesús Vargas-Lares, and Irma Plascencia-Fernández.
• Servicio de Pediatría, Hospital General Regional 110, Instituto Mexicano del Seguro Social, Guadalajara, Jalisco, Mexico. albertovillamanzano@yahoo.com.mx
• Rev Med Inst Mex Seguro Soc. 2013 Jul 1;51(4):372-7.

Backgroundtraumatic brain injury is a main cause of hospital admission and death in children. Our objective was to identify prognostic factors of pediatric traumatic brain injury.Methodsthis was a dynamic cohort study of traumatic brain injury with 6 months follow-up. The exposition was: mild or moderate/severe traumatic brain injury, searching for prognosis (morbidity-mortality and decreased Glasgow scale). Relative risk and logistic regression was estimated for prognostic factors.Resultswe evaluated 440 patients with mild traumatic brain injury and 98 with moderate/severe traumatic brain injury. Morbidity for mild traumatic brain injury was 1 %; for moderate/severe traumatic brain injury, 5 %. There were no deaths. Prognostic factors for moderate/severe traumatic brain injury were associated injuries (RR = 133), fractures (RR = 60), street accidents (RR = 17), night time accidents (RR = 2.3) and weekend accidents (RR = 2). Decreased Glasgow scale was found in 9 %, having as prognostic factors: visible injuries (RR = 3), grown-up supervision (RR = 2.5) and time of progress (RR = 1.6).Conclusionsthere should be a prognosis established based on kinetic energy of the injury and not only with Glasgow Scale.

15 keywords...

hide…