特集：頭部外傷データバンク【プロジェクト2015】（原著）
小児の重症頭部外傷の検討：頭部外傷データバンクプロジェクト2015の分析から
2019 年 42 巻 2 号 p. 149-159
詳細
2019 年 42 巻 2 号 p. 149-159
Purpose: Head injury is a major cause of death among children. To clarify ways of decreasing preventable deaths, data from Japan Neurotrauma Data Bank (JNTDB) Project 2015 were analyzed and compared with data from Project 2009.
Subjects and Methods: Project 2009 covered patients with severe head injury and a Glasgow Coma Scale (GCS) score ≤8, patients with talk and deteriorate, and patients who underwent surgery for traumatic intracranial lesions in 2015–2017 In total, 91 patients ≤15 years of age were included. We analyzed age, cause of injury, duration of transfer, time of patient transfer, GCS score, papillary abnormality, body temperature, serum glucose, Injury Severity Score (ISS), skull fracture, computed tomography (CT) findings (as classified by Traumatic Coma Data Bank criteria), main lesion of focal brain injury on CT, other lesions on CT, treatment, and outcome at discharge.
Results: Factors associated with poor outcome of pediatric severe head injury were GCS at admission ≤8, Body temperature at admission <37℃, patient with intraventricular hemorrhage (IVH) on CT, patient with traumatic subarachnoid hemorrhage (SAH) on CT and blood data of D–dimer at admission.
Conclusion: We analyzed 91 patients with pediatric severe head injury. To understand the characteristics of pediatric severe head injury in Japan, further studies are needed.
