Current Issue Article, Volume 20, Issue 1, March 2017
Background: Accidental head injuries in children represent a significant public health problem. However, there is a paucity of data regarding rates, modes and age-related risks of these inju-ries especially in developing countries. Aim: To define the etiology, clinical aspects, interven-tions, and the clinical outcome of accidental head injuries in children presented to Suez Canal teaching hospital. Patients and Methods: Prospective analysis was conducted on children ad-mitted to emergency department/Suez Canal teaching hospital for treatment of accidental head injuries. Data included patient`s demographics, etiology & mechanism of injury, severity of injury using pediatric Glasgow coma scale, clinical aspects, treatment received, and the final functional outcome using King’s Outcome Scale for Childhood Head Injury. Results: Two hun-dred and six injured children aged 18 years or less were admitted to hospital in the period from January 2014 to June 2015. Male/Female ratio was 1.3/1. Falls were the commonest mode of inju-ry (61%), followed by Road traffic accidents (18%), and home injuries (14%). Most injuries were of mild severity (83%). CT brain revealed skull fracture in 11%, and intracranial bleeds in 7%. Four-teen patients were operated upon. The mean length of hospital stay was 4.3 days. Final assess-ment revealed good recovery in 89% of children, moderate to severe disability in 8.5%, and a mortality rate of 2.4%. Conclusion: Children aged 2-5 years were more frequently present with an accidental head injury. Most injuries were mild, and falls were the commonest mode of in-jury. Most children required simple management without need for surgical intervention. Good recovery was the rule in most children with low disability and mortality rates. Keywords: Pediatric, Head injury, Outcome.