Traumatismo craneoencefálico en niños. Hospital General de Medellín y Clínica Somer de Rionegro, 2010-2017

Diana Paola Jiménez-Aguilar; Luisa María Montoya-Jaramillo; Dione Benjumea-Bedoya; John Fredy Castro-Álvarez

doi:10.17533/udea.iatreia.36

Authors

Diana Paola Jiménez-Aguilar Remington University Corporation https://orcid.org/0000-0002-0338-1078
Luisa María Montoya-Jaramillo Remington University Corporation https://orcid.org/0000-0001-7027-9711
Dione Benjumea-Bedoya Remington University Corporation https://orcid.org/0000-0002-4004-2219
John Fredy Castro-Álvarez Remington University Corporation https://orcid.org/0000-0002-9049-0271

DOI:

https://doi.org/10.17533/udea.iatreia.36

Keywords:

brain, brain injuries traumatic, child, skull

Abstract

Objective: To describe the demography, clinical presentation and complications associated with traumatic brain injury (TBI) in a cohort of children, ages 0-10, treated at Hospital General de Medellín and Clínica Somer between 2010-2017.

Methods: Cross sectional retrospective study chart review of all children with a diagnosis of TBI between 2010 and 2017. There were systematic review and recording of demographic information, mechanism of injury, clinical presentation, and associated complications.

Results: A total of 224 patients with TBI were identified. Among them, 64.7% were males and mean age was 4.5 years. Injuries most frequently occurred at the patient’s home, during the afternoon hours and between Monday and Friday. The most common mechanisms of injury were falls (75%), followed by motor vehicle accidents (13.3%). Severity of injury, measured by Glasgow coma scale, found that 78% of cases were mild. Seven (3%) of cases had neuromuscular complications during hospitalization and one TBI related death was identified.

Conclusion: Findings of this study are consistent with the known characteristics of pediatric TBI worldwide. This information may be used to improve prevention, diagnosis, and long term follow-up.

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Author Biographies

Diana Paola Jiménez-Aguilar, Remington University Corporation

MD, Residente de tercer año de Pediatría, Corporación Universitaria Remington, Medellín, Colombia.

Luisa María Montoya-Jaramillo, Remington University Corporation

MD, Third-year Resident of Pediatrics, Remington University Corporation, Medellín, Colombia.

Dione Benjumea-Bedoya, Remington University Corporation

MD. mg. Epidemiology PhD. Biomedical Research Group, Faculty of Health Sciences, Remington University Corporation, Medellín, Colombia.Research Group, Faculty of Health Sciences.

John Fredy Castro-Álvarez, Remington University Corporation

MB. MSc. PhD. Research Group on Health of the Elderly, Faculty of Health Sciences, Remington University Corporation, Medellín, Colombia.

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