<ArticleSet>
<Article>
<Journal>
<PublisherName>Trauma Research Center</PublisherName>
<JournalTitle>Bulletin of Emergency And Trauma</JournalTitle>
<Issn>2322-2522</Issn>
<Volume>7</Volume>
<Issue>3 JUL</Issue>
<PubDate>
<Year>2019</Year>
<Month>07</Month>
<Day>01</Day>
</PubDate>
</Journal>
<ArticleTitle>Mortality And Morbidity of Severe Traumatic Brain Injuries; A Pediatric Intensive Care Unit Experience Over 15 Years</ArticleTitle>
<FirstPage>784</FirstPage>
<LastPage>784</LastPage>
<Language>EN</Language>
<AuthorList>
<Author>
<FirstName>Kam Lun Ellis</FirstName>
<LastName>Hon</LastName>
<Affiliation>. ehon@hotmail.com</Affiliation>
</Author>
<Author>
<FirstName>Szewei</FirstName>
<LastName>Huang</LastName>
</Author>
<Author>
<FirstName>Wai Sang</FirstName>
<LastName>Poon</LastName>
</Author>
<Author>
<FirstName>Hon Ming</FirstName>
<LastName>Cheung</LastName>
</Author>
<Author>
<FirstName>Patrick</FirstName>
<LastName>Ip</LastName>
</Author>
<Author>
<FirstName>Benny</FirstName>
<LastName>Zee</LastName>
</Author>
</AuthorList>
<History>
<PubDate>
<Year>2018</Year>
<Month>11</Month>
<Day>09</Day>
</PubDate>
<PubDate>
<Year>2019</Year>
<Month>04</Month>
<Day>18</Day>
</PubDate>
<PubDate>
<Year>2019</Year>
<Month>04</Month>
<Day>15</Day>
</PubDate>
</History>
<Abstract>Objective: To determine the mortality, morbidity, types of intracranial hemorrhages, and factors associated with length of stay (LOS) associated with accidental traumatic brain injury (TBI) at a pediatric intensive care unit (PICU) of a regional trauma center in an Asian city.Methods: This study is a retrospective review of types of head injury, mortality and morbidity demographics of patients admitted to a PICU with TBI. All patients with accidental TBI were included, namely road traffic injury (RTI) and fall, and their demographics compared. Non-accidental injuries (NAI) were excluded.Results: 95 children (78% males) were admitted to a PICU with RTI or falls from 2002 to 2017. They accounted for 3.7% of PICU admissions. Comparing with falls, victims of RTI were older (p<0.001) and more likely to suffer from skull fracture (p=0.017). There were 4 deaths with falls (6.8%) but none with RTI. Subarachnoid hemorrhages, extradural hemorrhages, the use of mechanical ventilation, inotropes and neurological supports were associated with longer LOS in PICU in these injuries (p<0.001).Conclusion: A longer PICU LOS is associated with extradural and subarachnoid hemorrhages, usage of inotropes, mechanical ventilation and neurological supports in falls and RTI. Three-quarters of victims are males. Preventive health education should be especially directed to boys to reduce severe TBI in this Asian city.</Abstract>
<ObjectList>
<Object>
<Param>Mortality</Param>
</Object>
<Object>
<Param>Length of Stay</Param>
</Object>
<Object>
<Param>PICU</Param>
</Object>
<Object>
<Param>Traumatic Brain injury</Param>
</Object>
<Object>
<Param>Falls</Param>
</Object>
<Object>
<Param>Road traffic injury</Param>
</Object>
</ObjectList>
</Article>
</ArticleSet>