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Clinically-Important Brain Injury and CT Findings in Pediatric Mild Traumatic Brain Injuries: A Prospective Study in a Chinese Reference Hospital

Author

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  • Huiping Zhu

    (School of Public Health, Capital Medical University, 10 Xitoutiao, Youanmen, Beijing 100069, China
    Beijing Municipal Key Laboratory of Clinical Epidemiology, Beijing 100069, China
    These authors contributed equally to this work.)

  • Qi Gao

    (School of Public Health, Capital Medical University, 10 Xitoutiao, Youanmen, Beijing 100069, China
    Beijing Municipal Key Laboratory of Clinical Epidemiology, Beijing 100069, China
    These authors contributed equally to this work.)

  • Xin Xia

    (Hubei Provincial Center for Disease Control and Prevention, Wuhan 430079, China)

  • Joe Xiang

    (Case Western Reserve University, Cleveland, OH 44106, USA)

  • Hongli Yao

    (Wuhan Children's Hospital, 100 Hongkong Road, Wuhan 430016, China)

  • Jianbo Shao

    (Wuhan Children's Hospital, 100 Hongkong Road, Wuhan 430016, China)

Abstract

This study investigated injury patterns and the use of computed tomography (CT) among Chinese children with mild traumatic brain injury (MTBI). We enrolled children with MTBI who were treated within 24 hours of head trauma in the emergency department of Wuhan Medical Care Center for Women and Children in Wuhan, China. Characteristics of MTBIs were analyzed by age and gender. Results of cranial CT scan and clinically-important brain injury (ciTBI) for children were obtained. The definition of ciTBI was: death from TBI, intubation for more than 24 h for TBI, neurosurgery, or hospital admission of 2 nights or more. Of 455 eligible patients with MTBI, ciTBI occurred in two, and no one underwent neurosurgical intervention. CT scans were performed for 441 TBI patients (96.9%), and abnormal findings were reported for 147 patients (33.3%, 95% CI 29.0–37.8). Falls were the leading cause of MTBI (61.5%), followed by blows (18.9%) and traffic collisions (14.1%) for children in the 0–2 group and 10–14 group. For children aged between 3 and 9, the top three causes of TBI were falls, traffic collisions and blows. Leisure activity was the most reported activity when injuries occurred for all age groups. Sleeping/resting and walking ranked in the second and third place for children between 0 and 2 years of age, and walking and riding for the other two groups. The places where the majority injuries occurred were the home for the 0–2 and 3–9 years of age groups, and school for the 10–14 years of age group. There was no statistical difference between boys and girls with regard to the activity that caused the MTBI. This study highlights the important roles that parents and school administrators in the development of preventive measures to reduce the risk of traumatic brain injury in children. Also, identifying children who had a head trauma at very low risk of clinically important TBI for whom CT might be unnecessary is a priority area of research in China.

Suggested Citation

  • Huiping Zhu & Qi Gao & Xin Xia & Joe Xiang & Hongli Yao & Jianbo Shao, 2014. "Clinically-Important Brain Injury and CT Findings in Pediatric Mild Traumatic Brain Injuries: A Prospective Study in a Chinese Reference Hospital," IJERPH, MDPI, vol. 11(4), pages 1-14, March.
    • Handle: RePEc:gam:jijerp:v:11:y:2014:i:4:p:3493-3506:d:34443
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    References listed on IDEAS

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    1. Rivara, F.P. & Koepsell, T.D. & Wang, J. & Temkin, N. & Dorsch, A. & Vavilala, M.S. & Durbin, D. & Jaffe, K.M., 2012. "Incidence of disability among children 12 months after traumatic brain injury," American Journal of Public Health, American Public Health Association, vol. 102(11), pages 2074-2079.
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