Abstract Details

Title Outcome and Patterns of Traumatic Brain Injury in Pediatric Population of a Third World Country Secondary to TV-Trolley Tip over

Topic Critical Care/Emergency Neurology/Trauma

Presentation(s) P06 - (-)

Poster/Presentation
Number 237

Objective

Background BACKGROUND: Lifestyle in third world countries is significantly different than that of the developed world. ER physicians, neurologists and neurosurgeons recognize TV trolley related accidents as leading mechanism of head injury in children.

Design/Methods DESIGN/METHODS: A retrospective study was conducted at Aga Khan University Hospital which caters to approximately 600,000 patients annually. A review of the trauma database of the last 10 years showed 31 TBI cases among children. Glasgow outcome scale (GOS) was evaluated at discharge and regular follow-ups.

Results RESULTS: About 64.51% cases recorded were secondary to TV fall. with high injury rate in boys (61.29%) as compared to girls (38.70%) with mean age of 3.8 years and an average hospital stay of 1.35 days. The GCS 13-15 (n=19) was more relevant in our study. Nasal bleed 38.70% was the most common presentation followed by ear bleed 22.58%, raccoon eyes 22.58% and CSF rhinorrhea 19.35% . Multiple bone fracture was very common 41.93% with occipital 22.58% being the most common bone followed by parietal 16.12% frontal 9.67%. Only 3 cases were associated with pneumocranium whereas there was presence of hematoma in 3pts. 6 children required surgery. No death was recorded. GOS on discharge of all patients was 5 with only one patient showing deterioration in follow-up. Only 2 temporal area injuries and both lead to complication of meningitis. Vertigo, facial palsy & aphasia were other complications.

Conclusions CONCLUSIONS: Prevention and public awareness are the most effective way of reducing TV trolley injuries. Reduction in prices of flat screen television sets, probably by subsidizing through support by NGOs and government authorities would lead to a decline in these accidents.

Authors/Disclosures
Mudassir Farooqui, MD PRESENTER	Dr. Farooqui has nothing to disclose.
	No disclosure on file
Ludwig Kappos, MD, FAAN (RC2NB, University Hospital Basel)	Dr. Kappos has nothing to disclose.
Atif Zafar, MD (St. Michael's Hospital (University of Toronto))	Dr. Zafar has nothing to disclose.
	No disclosure on file
	No disclosure on file
Victoria S. Pelak, MD, FAAN (University of Colorado School of Medicine)	Dr. Pelak has received personal compensation in the range of $500-$4,999 for serving on a Scientific Advisory or Data Safety Monitoring board for Eisai. Dr. Pelak has received personal compensation in the range of $0-$499 for serving as an officer or member of the Board of Directors for North American Neuro-ophthalmology Society. Dr. Pelak has received personal compensation in the range of $500-$4,999 for serving as an Expert Witness for Law Firms. The institution of Dr. Pelak has received research support from Biogen. Dr. Pelak has received publishing royalties from a publication relating to health care.
Victoria S. Pelak, MD, FAAN (University of Colorado School of Medicine)	Dr. Pelak has received personal compensation in the range of $500-$4,999 for serving on a Scientific Advisory or Data Safety Monitoring board for Eisai. Dr. Pelak has received personal compensation in the range of $0-$499 for serving as an officer or member of the Board of Directors for North American Neuro-ophthalmology Society. Dr. Pelak has received personal compensation in the range of $500-$4,999 for serving as an Expert Witness for Law Firms. The institution of Dr. Pelak has received research support from Biogen. Dr. Pelak has received publishing royalties from a publication relating to health care.

��ɫ��

��ɫ��