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Abstract Details

Rotterdam CT Score Can Detect Differences between Pediatric and Adult TBI
Critical Care/Emergency Neurology/Trauma
P06 - (-)
241
BACKGROUND: Traumatic brain injury (TBI) represents one of the leading causes of hospitalization and death among pediatric patients. Admission computerized tomography(CT) scans play an important role in classifying and treating TBI, but little is known about the differences between CT findings in adult and pediatric populations.
DESIGN/METHODS: This is a retrospective analysis of TBI registry data from 1,206 consecutive non-penetrating TBI patients treated at a Level 1 adult and pediatric trauma center from August 2008 to January 2011.
RESULTS: The distribution of gender, race, and GCS were not significantly different between adult and pediatric populations. The distribution of CT findings, however, was significantly different. Pediatric TBI patients were more likely to have skull fractures (OR 3.21, p<0.01) and epidural hematomas (OR 1.96, p<0.01). Pediatric TBI was less likely to be associated with contusion, subdural hematoma, subarachnoid hemorrhage, or compression of basal cisterns (p<0.05). Rotterdam CT scores were significantly lower(2.3 versus 2.6, p< 0.001). and distribution significantly different in the pediatric population.
CONCLUSIONS: We found significant differences in CT scan findings in pediatric versus adult TBI, despite the fact that both groups were statistically similar with regard to clinical severity of injury as measured by the GCS score. These differences may be due to anatomical characteristics, biomechanics of injury, and/or differences in injury mechanisms between pediatric and adult patients. The unique characteristics of pediatric TBI warrant consideration when designing clinical trial design, or predicting functional outcome using prognostic models developed from adult TBI data.
Authors/Disclosures
Korak Sarkar, MD, MHDS, FAAN (Ochsner Health)
PRESENTER 		An immediate family member of Dr. Sarkar has received personal compensation in the range of $500-$4,999 for serving on a Speakers Bureau for Canon Medical. Dr. Sarkar has received personal compensation in the range of $10,000-$49,999 for serving as an Expert Witness for multiple medical-legal cases. Dr. Sarkar has a non-compensated relationship as a Senior Editor with Journal of Medical Extended Reality that is relevant to AAN interests or activities.
No disclosure on file
No disclosure on file
No disclosure on file
Michael S. Okun, MD, FAAN (University of Florida) Dr. Okun has received personal compensation in the range of $0-$499 for serving on a Scientific Advisory or Data Safety Monitoring board for NIH. Dr. Okun has received personal compensation in the range of $10,000-$49,999 for serving as an officer or member of the Board of Directors for Parkinson's Foundation. Dr. Okun has received personal compensation in the range of $5,000-$9,999 for serving as an Editor, Associate Editor, or Editorial Advisory Board Member for JAMA Neurology. Dr. Okun has received personal compensation in the range of $500-$4,999 for serving as an Editor, Associate Editor, or Editorial Advisory Board Member for NEJM Journal Watch. The institution of Dr. Okun has received research support from NIH. The institution of Dr. Okun has received research support from Parkinson's Foundation. The institution of Dr. Okun has received research support from Tourette Association of America. The institution of Dr. Okun has received research support from Michael J Fox. Dr. Okun has received publishing royalties from a publication relating to health care.