Causes and outcome of intracranial bleed in children presenting to emergency department of tertiary care hospital
Location
Auditorium Pond Side
Start Date
26-2-2014 10:30 AM
Abstract
Introduction: Intracranial (IC) bleed spontaneous and traumatic are important cause of morbidity and mortality in children. Objective: To determine the causes and outcome of children presenting to emergency department of a tertiary care hospital.
Material and Method: The study was conducted at Emergency department (ED) of Aga Khan University from Jan 2009- Dec 2010.The charts of the patients with Intracranial bleeding were reviewed retrospectively. Data was collected on variables like age, gender, symptoms, clinical presentations CT scan findings, cause of bleeding and final disposition with outcome were recorded in a predesigned proforma. Data was entered and analyzed using SPSS version 19.0.
Results: During the study period total 145 children presented to emergency department with suspected Intracranial Bleed. The mean age of presentation was 5.6 years ± 4.26 years with 27(18.6%) less than 1 year of age. Males were 100(69%) and females were 45(31%). The presenting complaints were headache (16.6%), altered level of consciousness (40.7%), seizures (29.7%), vomiting (51%) and fever (20.7%). Duration of symptoms was less than a week in 72.4% of patients. History of trauma was found in 104(71.7%), anemia 80(55.2%) and thrombocytopenia 11(7.6%). Ct scan showed extradural in 30.3% , parenchymal in 26.2% , subdural in 25.5% , cerebral edema in 71.7% and midline shift in 27.6%.Almost 32.4 % patients were shifted to operating room immediately .PICU admission was needed in 64.1% and 15.2% expired.
Conclusion: Intracranial bleed is a common reason for Emergency department visits in children. Trauma is an important cause of intracranial bleeding in children.
Keywords: bleeding, Emergency, Trauma, Children
Causes and outcome of intracranial bleed in children presenting to emergency department of tertiary care hospital
Auditorium Pond Side
Introduction: Intracranial (IC) bleed spontaneous and traumatic are important cause of morbidity and mortality in children. Objective: To determine the causes and outcome of children presenting to emergency department of a tertiary care hospital.
Material and Method: The study was conducted at Emergency department (ED) of Aga Khan University from Jan 2009- Dec 2010.The charts of the patients with Intracranial bleeding were reviewed retrospectively. Data was collected on variables like age, gender, symptoms, clinical presentations CT scan findings, cause of bleeding and final disposition with outcome were recorded in a predesigned proforma. Data was entered and analyzed using SPSS version 19.0.
Results: During the study period total 145 children presented to emergency department with suspected Intracranial Bleed. The mean age of presentation was 5.6 years ± 4.26 years with 27(18.6%) less than 1 year of age. Males were 100(69%) and females were 45(31%). The presenting complaints were headache (16.6%), altered level of consciousness (40.7%), seizures (29.7%), vomiting (51%) and fever (20.7%). Duration of symptoms was less than a week in 72.4% of patients. History of trauma was found in 104(71.7%), anemia 80(55.2%) and thrombocytopenia 11(7.6%). Ct scan showed extradural in 30.3% , parenchymal in 26.2% , subdural in 25.5% , cerebral edema in 71.7% and midline shift in 27.6%.Almost 32.4 % patients were shifted to operating room immediately .PICU admission was needed in 64.1% and 15.2% expired.
Conclusion: Intracranial bleed is a common reason for Emergency department visits in children. Trauma is an important cause of intracranial bleeding in children.
Keywords: bleeding, Emergency, Trauma, Children