REPEATED CRANIAL COMPUTED TOMOGRAPHY FINDINGS IN CHILDREN WITH HEAD TRAUMA
Introduction: The previous studies reported that in case of normal or improving neurologic findings there is no need to repeated CT. We investigated the value of repeated tomography for head trauma in children. Materials: We retrospectively investigated the files and computer records of the children who admitted to our emergency department between February 2009 to January 2015 in the Emergency Department of Ankara Diskapi Education and Research Hospital. We included 561 patients under the age of 18 who was admitted to ER with head trauma and also repeated CT examination was performed in the first four hours. Results: The mean age of the patients was 6.6±4.9 years, male frequency was 66.5%. In both of the genders the most of the patients was between the age of 1-5. The mortality rate under the age of 5 was 5.5% (n=16) besides, mortality rate was 7.8% (n=21) between the ages of 6-15. The most frequently detected pathology in cranial CT was skull fracture (79.3%); following with subarachnoid hemorrhage (28.7%). In 9.4% of the patients we detected new pathology by the repeated tomography. The mortality was higher and also new pathology was more frequent if the initial GCS score of the patient was under 14. Conclusion: In case of worsening mental or clinical state or initial GCS is under 14, repeated cranial CT is necessary.
Serkan Ceritli1, Kadir Dibek2, Umut Yücel Çavuş3, Nezih Kavak3, Süleyman Altun3, Cemil Kavalci3 1Department of Emergency Medicine, Gulhane Education and Research Hospital, Ankara, Turkey; 2Department of Emergency Medicine, Bandırma State Hospital, Balıkesir, Turkey; 3Department of Emergency Medicine, Diskapi Education and Research Hospital, Ankara, Turkey.
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Ceritli Serkan, Dibek Kadir, Çavuş Umut Yücel, Kavak Nezih, Altun Süleyman, Kavalci Cemil Repeated cranial computed tomography findings in children with head trauma // Nauka i Zdravookhranenie [Science & Healthcare]. 2021, (Vol.23) 1, pp. 42-46. doi 10.34689/SH.2021.23.1.005