• José Roberto Tude Melo, Laudenor Pereira Lemos-Júnior, Rodolfo Casimiro Reis, Alex O Araújo, Carlos W Menezes, Gustavo P Santos, Bruna B Barreto, Thomaz Menezes, and Jamary Oliveira-Filho.
• Post-Graduation Program in Medicine and Health from Federal University of Bahia (PPgMS-UFBA), Salvador BA, Brazil. robertotude@gmail.com
• Arq Neuropsiquiatr. 2010 Jun 1; 68 (3): 381-4.

ObjectiveTo identify in mild head injured children the major differences between those with a Glasgow Coma Scale (GCS) 15 and GCS 13/14.MethodCross-sectional study accomplished through information derived from medical records of mild head injured children presented in the emergency room of a Pediatric Trauma Centre level I, between May 2007 and May 2008.Results1888 patients were included. The mean age was 7.6 + or - 5.4 years; 93.7% had GCS 15; among children with GCS 13/14, 46.2% (p<0.001) suffered multiple traumas and 52.1% (p<0.001) had abnormal cranial computed tomography (CCT) scan. In those with GCS 13/14, neurosurgery was performed in 6.7% and 9.2% (p=0.001) had neurological disabilities.ConclusionThose with GCS 13/14 had frequently association with multiple traumas, abnormalities in CCT scan, require of neurosurgical procedure and Intensive Care Unit admission. We must be cautious in classified children with GCS 13/14 as mild head trauma victims.

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