菲律宾三级区域创伤中心儿童创伤性脑损伤患者的临床特征和预后。

IF 1.8 Q3 CLINICAL NEUROLOGY
Neurotrauma reports Pub Date : 2025-03-06 eCollection Date: 2025-01-01 DOI:10.1089/neur.2025.0002
Maurice V Bayhon, Ibet Marie Y Sih
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引用次数: 0

摘要

摘要:创伤性脑损伤(TBI)是儿童致残和死亡的主要原因。关于东南亚儿童脑外伤的数据有限,特别是在中低收入国家。本研究调查了菲律宾三级创伤中心儿童TBI患者的临床特征和预后。这项回顾性队列研究调查了2021年至2023年在菲律宾创伤中心入院的TBI儿科患者(18岁及以下)。共纳入218例患者。统计数据、损伤机制、TBI严重程度、颅脑成像、手术程序、并发症和出院结果进行了分析。摘要218例患者中男性占75%,年龄以13 ~ 18岁为主。损伤的主要机制是机动车碰撞(MVCs),特别是在年龄较大的儿童中(80%)。对于5岁以下的患者,跌倒和mvc同样常见。大多数病例为轻度(69%),40.8%为颅脑显像阴性。硬膜外血肿(20%)是最常见的异常表现。8%的患者需要手术,其中硬膜外血肿开颅是最常见的手术。接受手术的患者中有一半患有神经功能障碍,有一例死亡记录。总体而言,86.7%的患者出院时无并发症,尽管只有34.6%的严重TBI患者预后良好。总并发症发生率为8.7%,以轻度神经功能障碍最为常见。病死率为4.6%,重症颅脑损伤病死率为30.8%。大多数患者为男性青少年,涉及MVCs。虽然大多数TBI是轻微的,但严重TBI的发生率显著,特别是硬膜外血肿。这些发现表明菲律宾的创伤影响更大。并发症和死亡率与其他研究一致。重点加强道路安全、交通执法和公众教育。需要一项多中心前瞻性研究来更好地了解影响儿童TBI预后的因素。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Clinical Characteristics and Outcomes of Pediatric Traumatic Brain Injury Patients in a Tertiary Regional Trauma Center in the Philippines.

Abstract: Traumatic brain injury (TBI) is a leading cause of disability and death in children. Limited data exists on pediatric TBI in Southeast Asia, especially in low- and -middle-income countries. This study investigates the clinical characteristics and outcomes of pediatric TBI patients in a tertiary trauma center in the Philippines. This retrospective cohort study examined pediatric patients (18 years and under) with TBI admitted to a Philippine trauma center from 2021 to 2023. A total of 218 patients were included. Data on demographics, injury mechanisms, TBI severity, cranial imaging, surgical procedures, complications, and discharge outcomes were analyzed.

Abstract: Among the 218 patients, 75% were male, and most were aged 13-18. The primary mechanism of injury was motor vehicle crashes (MVCs), especially in older children (80%). For patients under 5, falls and MVCs were equally common. Most cases were mild (69%), and 40.8% had negative cranial imaging. Epidural hematoma (20%) was the most common abnormal finding. Of the patients, 8% required surgery, with craniotomy for epidural hematoma being the most frequent procedure. Half of those who underwent surgery had neurological deficits, and there was one recorded death. Overall, 86.7% of patients were discharged without complications, though only 34.6% of those with severe TBI had good outcomes. The overall complication rate was 8.7%, with mild neurological deficits being most common. The case fatality rate was 4.6%, with severe TBI showing a higher rate of 30.8%. The majority of patients were male teenagers involved in MVCs. Although most TBIs were mild, there was a notable incidence of severe TBI, particularly with epidural hematoma. These findings suggest higher-impact trauma in the Philippines. The complication and mortality rates align with other studies. Efforts should focus on road safety, traffic law enforcement, and public education. A multi-center prospective study is needed to better understand the factors influencing outcomes in pediatric TBI.

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CiteScore
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