Scholarlink

Purpose <p>This study aims to investigate the epidemiological characteristics, injury mechanisms, and clinical outcomes of children with moderate and severe traumatic brain injury (TBI), using population-based data from a national trauma registry.</p> Methods <p>This nationwide observational cohort study includes all pediatric patients (0–17 years) with moderate and severe TBI registered in the Norwegian Trauma Registry between January 1, 2017, and December 31, 2020.</p> Results <p>A total of 348 pediatric patients with moderate (<i>n</i> = 289, 83%) and severe <i>n</i> = 59, 17%) TBI were analyzed. The most common injury mechanism were high-energy falls (33%) and road traffic accidents (29%). The 30-day mortality rate was 3%, significantly higher in severe TBI (12%) than moderate TBI (1%, <i>p</i> &lt; 0,001). Patients with severe TBI had longer hospital stays and poorer functional recovery than those with moderate TBI.</p> Conclusion <p>This population-based study on pediatric TBI patients over a period of 4 years revealed a relatively low mortality rate. In 4 out of 5 patients moderate or severe TBI resulted in a good outcome with moderate, low or no disability. Advancing the understanding of evidence-based interventions aiming at preventing both primary and secondary injuries associated with pediatric TBI is essential for optimizing recovery and promoting functional independence in these young patients.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Pediatric moderate and severe traumatic brain injury – A national, population-based cohort study

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2025年10月30日

查看全文
  • Trym Kolstø,
  • David Werner,
  • Kenneth Thorsen,
  • Clemens Weber

摘要

Purpose

This study aims to investigate the epidemiological characteristics, injury mechanisms, and clinical outcomes of children with moderate and severe traumatic brain injury (TBI), using population-based data from a national trauma registry.

Methods

This nationwide observational cohort study includes all pediatric patients (0–17 years) with moderate and severe TBI registered in the Norwegian Trauma Registry between January 1, 2017, and December 31, 2020.

Results

A total of 348 pediatric patients with moderate (n = 289, 83%) and severe n = 59, 17%) TBI were analyzed. The most common injury mechanism were high-energy falls (33%) and road traffic accidents (29%). The 30-day mortality rate was 3%, significantly higher in severe TBI (12%) than moderate TBI (1%, p < 0,001). Patients with severe TBI had longer hospital stays and poorer functional recovery than those with moderate TBI.

Conclusion

This population-based study on pediatric TBI patients over a period of 4 years revealed a relatively low mortality rate. In 4 out of 5 patients moderate or severe TBI resulted in a good outcome with moderate, low or no disability. Advancing the understanding of evidence-based interventions aiming at preventing both primary and secondary injuries associated with pediatric TBI is essential for optimizing recovery and promoting functional independence in these young patients.