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Epidemiology of Pediatric Traumatic Brain Injury at Sylvanus Olympio University Hospital of Lomé in Togo
Joint Authors
Mouzou, Tabana
Tchetike, Pikabalo
Sama, Hamza Doles
Assenouwe, Sarakawabalo
Akala-Yoba, Gnimdou
Randolph, Lonlongnon
Tomta, Kadjika
Egbohou, Palakiyem
Source
Anesthesiology Research and Practice
Issue
Vol. 2019, Issue 2019 (31 Dec. 2019), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2019-08-01
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Introduction.
Severe pediatric traumatic brain injury (pTBI) is a leading cause of disability and death in children worldwide.
Children victims of pTBI are admitted to the Sylvanus Olympio University Hospital (SOUH) at the multipurpose Intensive Care Unit (ICU).
We aimed in this study to describe the epidemiologic characteristics and outcomes of pTBI patients admitted in this ICU.
Patients and Methods.
This study was conducted at the ICU of SOUH of Lome.
It was a retrospective study based on patients’ records from 0 to 15 years old admitted during the period from 1 January 2012 to 30 June 2018 (5 years and 6 months).
Results.
We recorded 91 pTBI included in the study.
The mean age was 7.7 ± 4.3 years.
The male predominated with 67.0%.
Road traffic accidents were the most common cause (79.1%), followed by falls (19.8%).
The average pediatric Glasgow Coma Scale (pGCS) was 6.6 ± 1.4, with a mean Injury Severity Score (ISS) of 23.1 ± 8.4.
The most common brain injuries found in the CT scan were brain edema (72.9%), skull fracture (69.5%), and brain contusion (55.9%).
The average duration under mechanical ventilation was 2.1 ± 2.9 days, and the mean ICU stay was 4.9 ± 4.4 days.
Overall mortality was 31.9% (29 cases).
Factors significantly associated (p<0.05) with death were hypotension (51.7%), anemia (43.1%), hyperthermia (46.7%), GCS < 6 (64%), and ISS > 20 (48.9%).
Conclusion.
pTBI mortality remains high in SOUH ICU.
Factors associated with mortality were secondary systemic insults, worse GCS < 6, and ISS > 20.
American Psychological Association (APA)
Egbohou, Palakiyem& Mouzou, Tabana& Tchetike, Pikabalo& Sama, Hamza Doles& Assenouwe, Sarakawabalo& Akala-Yoba, Gnimdou…[et al.]. 2019. Epidemiology of Pediatric Traumatic Brain Injury at Sylvanus Olympio University Hospital of Lomé in Togo. Anesthesiology Research and Practice،Vol. 2019, no. 2019, pp.1-6.
https://search.emarefa.net/detail/BIM-1122290
Modern Language Association (MLA)
Egbohou, Palakiyem…[et al.]. Epidemiology of Pediatric Traumatic Brain Injury at Sylvanus Olympio University Hospital of Lomé in Togo. Anesthesiology Research and Practice No. 2019 (2019), pp.1-6.
https://search.emarefa.net/detail/BIM-1122290
American Medical Association (AMA)
Egbohou, Palakiyem& Mouzou, Tabana& Tchetike, Pikabalo& Sama, Hamza Doles& Assenouwe, Sarakawabalo& Akala-Yoba, Gnimdou…[et al.]. Epidemiology of Pediatric Traumatic Brain Injury at Sylvanus Olympio University Hospital of Lomé in Togo. Anesthesiology Research and Practice. 2019. Vol. 2019, no. 2019, pp.1-6.
https://search.emarefa.net/detail/BIM-1122290
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1122290