Preview
Sign-in for full Details 
Sign-in free and Explore the Exciting World of BiomedExperts:
- Over 1,800,000 Profiles
- More than 3,500 Organizations worldwide
- State of the Art Network Visualizations
- Manage your own Profile
- Locate Experts in your Country/Region
- Locate Experts in your 1. and 2. Level Network
- Connect to Experts Worldwide
find experts for
Sign-in to see more
2008:
Salim Ali; Hannon Matthew; Brown Carlos; Hadjizacharia Pantelis; Backhus Leah; Teixeira Pedro G R; Chan Linda S; Ford Henri
Intracranial pressure monitoring in severe isolated pediatric blunt head trauma.
The American surgeon 2008;
74(
11):.
Very little research regarding standard treatments for pediatric traumatic brain injury (PTBI) exists. The objective of this study was to examine the use of intracranial pressure (ICP) monitoring devices in PTBI and to determine if its use was associated with any outcome benefit. Data were collected from the Trauma Registry over an 11-year period (1996-2006) on all blunt trauma pediatric patients (age < 14 years) with an initial Glasgow Coma Scale score < or =8. Data collected included: demographics, admission Glasgow Coma Scale score, mechanism of injury, Injury Severity Score, Abbreviated Injury Score, and use of an ICP monitor. Outcome measures included: mortality, complications, discharge location, and capacity. Thirty-three (25%) of 129 blunt PTBI patients had ICP monitors placed. Patients with monitors were more severely injured overall (Injury Severity Score: 25 vs. 18, P = 0.001) and had more severe head injury (81% head Abbreviated Injury Score > 3 vs. 55%, P = 0.01) than patients without monitors. However, there was no difference in mortality (28% vs. 35%, P = 0.52), discharge location (P = 0.10), and discharge capacity (P = 0.84). After multivariable analysis to adjust for the differences between the two study groups, the use of ICP monitor provided no survival benefit (adjusted odds ratio: 1.1; 95% confidence interval [CI]: 0.3-4.1; adjusted P value = 0.85). The use of ICP monitor was, however, independently associated with a higher risk of developing extracranial complications (adjusted odds ratio: 4.3; 95% CI: 1.2-16.4; adjusted P value = 0.025). In conclusion, the use of ICP monitors in pediatric patients with severe isolated head injury provided no survival benefit and was associated with an increased risk of complications.
Post to CiteULike 
Sign in free and see...
Visualized networks:
See your personal network in
sophisticated graphical views
GeoTargeted Searches:
Locate experts around the world
and connect with global collaborators
Research Profiles:
See the visualized research activity
of experts around the globe
Sign-in to see more
