Correlation between early computed tomography findings and neurological outcome in pediatric traumatic brain injury patients.
Süleyman ŞahinEdin BotanEmrah GünMerve Feyza YükselNurşah Yeniay SütAyşe Tuğba KartalAnar GurbanovFevzi KahveciHasan ÖzenMerve HavanMiraç YıldırımSeda Kaynak ŞahapÖmer BektaşSerap TeberSuat FitozTanıl KendirliPublished in: Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology (2024)
Traumatic brain injury (TBI) is a leading cause of morbidity and mortality in children. Head computed tomography (CT) is frequently utilized for evaluating trauma-related characteristics, selecting treatment options, and monitoring complications in the early stages. This study assessed the relationship between cranial CT findings and early and late neurological outcomes in pediatric TBI patients admitted to the pediatric intensive care unit (PICU). The study included children aged 1 month to 18 years who were admitted to the PICU due to TBI between 2014 and 2020. Sociodemographic data, clinical characteristics, and cranial CT findings were analyzed. Patients were categorized based on their Glasgow Coma Scale (GCS) score. Of the 129 patients, 83 (64%) were male, and 46 (36%) were female, with a mean age of 6.8 years. Falls (n = 51, 39.5%) and in-vehicle traffic accidents (n = 35, 27.1%) were the most common trauma types observed. Normal brain imaging findings were found in 62.7% of the patients, while 37.3% exhibited intracranial pathology. Hemorrhage was the most frequent CT finding. Severe TBI (n = 26, p = 0.032) and mortality (n = 9, p = 0.017) were more prevalent in traffic accidents. The overall mortality rate in the study population was 10.1%. In children with TBI, cranial CT imaging serves as an essential initial method for patients with neurological manifestations. Particularly, a GCS score of ≤ 8, multiple hemorrhages, diffuse cerebral edema, and intraventricular bleeding are associated with sequelae and mortality.
Keyphrases
- traumatic brain injury
- computed tomography
- end stage renal disease
- intensive care unit
- ejection fraction
- newly diagnosed
- chronic kidney disease
- positron emission tomography
- contrast enhanced
- image quality
- peritoneal dialysis
- prognostic factors
- severe traumatic brain injury
- air pollution
- type diabetes
- multiple sclerosis
- coronary artery disease
- adipose tissue
- blood brain barrier
- deep learning
- electronic health record
- extracorporeal membrane oxygenation
- photodynamic therapy
- fluorescence imaging