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Pediatric Traumatic Brain Injury Pattern at the General Hospital, Douala, Cameroon

机译:喀麦隆杜阿拉综合医院的小儿创伤性脑损伤模式

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Traumatic brain injury is the most common injury during childhood comprising 60% to 90% injuries in children. Pediatric traumatic brain injury has peculiarities as compared to adults, such as less severe injuries and better prognosis. The purpose of this work was to study the pattern of pediatric traumatic brain injury at the General Hospital, Douala, Cameroon. This was a retrospective cross-sectional study, from January 1st, 2008 to December 31st, 2017. Included were all complete medical records of children aged 0 to 15 years old treated for traumatic brain injury, and excluded records of obstetric trauma. Data analysis was done by SPSS software version 18.0. One hundred and three cases of pediatric head injuries were recorded during the study period (frequency 10.43%). The mean age was 7.42 ± 5.028 years, and the sex ratio was 2.67 in favor of boys. Road traffic accidents were the most common etiology (44.7%). 83.5% of the patients were transferred to the emergency department of the Douala General Hospital in second intention and by non-medical transport. The traumatic brain injury was mild in 61.20%. The brain computed tomography scan was performed in 99% of the cases and the most observed lesion was cerebral edema (32.74%). Twenty-eight patients underwent surgical operation. 90.28% of patients have recovered fully, and the global mortality was 3.88%. The prevalence of pediatric traumatic brain injuries at the General Hospital, Douala during the last ten years was 10.43%. Most of the patients recovered fully and the mortality was low.
机译:颅脑外伤是儿童时期最常见的损伤,包括儿童中60%至90%的损伤。与成人相比,小儿颅脑外伤具有特殊性,如轻度受伤和预后较好。这项工作的目的是研究喀麦隆杜阿拉综合医院的小儿外伤性脑损伤的模式。这是一项回顾性横断面研究,时间为2008年1月1日至2017年12月31日。其中包括接受颅脑外伤治疗的0至15岁儿童的完整医疗记录,并排除了产科外伤的记录。数据分析由SPSS软件18.0版完成。在研究期间共记录了103例小儿头部受伤病例(发生频率10.43%)。平均年龄为7.42±5.028岁,男女比例为2.67。道路交通事故是最常见的病因(44.7%)。 83.5%的患者是通过非医疗运输被转送到杜阿拉综合医院急诊科的。脑外伤轻度占61.20%。在99%的病例中进行了脑部计算机断层扫描,最常见的病变是脑水肿(32.74%)。二十八例患者接受了外科手术。 90.28%的患者已完全康复,全球死亡率为3.88%。最近十年来,杜阿拉总医院的小儿创伤性脑损伤患病率为10.43%。大多数患者完全康复,死亡率低。

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