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Traumatismes Crâniens de l’Enfant: Aspects Épidémiologiques et Prise en Charge au Centre Hospitalier Universitaire de Brazzaville
| Content Provider | Semantic Scholar |
|---|---|
| Author | Mbaki, Hugues Brieux Ekouele Moyen, E. Mieret, Jc Ngackosso, Olivier Brice Moyen, Georges |
| Copyright Year | 2018 |
| Abstract | RESUME Introduction. Le but de cette etude etait d’evaluer les conditions de prise en charge des traumatismes crâniens de l’enfant au Centre Hospitalier Universitaire (CHU) de Brazzaville. Methodologie. Nous avons revu les dossiers des enfants âges d’un mois a 17 ans, hospitalises dans le service de chirurgie polyvalente du CHU de Brazzaville entre janvier 2014 et decembre 2015, et avons retenu ceux qui l’etaient pour un traumatisme crânien. Les parametres epidemiologiques, diagnostiques, therapeutiques et evolutifs ont ete analyses. Resultats. sur 66 enfant hospitalises, 48 (72,72%) ont ete admis pour un traumatisme crânien et parmi eux 45 (68,18%) enfants ont ete inclus dont 33 garcons et 12 filles. Leur âge moyen etait de 9,73 ans. Le traumatisme etait consecutif a un accident de la voie publique dans 36 cas (80%), a une chute dans 6 cas (13,33%), et a une agression dans 3 cas (6,66%). Le score de Glasgow etait inferieur ou egal a huit dans 12 cas (26,66%), compris entre 9 et 12 dans 25 cas (55,55%) et entre 13 et 15 dans 8 cas (17,77%). Le scanner crânio-encephalique etait realise en moyenne quatre jours apres le traumatisme. Quatre enfants (8,88%) ont ete operes. L’evolution apres 12 mois etait favorable pour 26 enfants (78,79%) et 12 enfants ont ete perdus de vue. Conclusion. la frequence elevee des traumatismes crâniens chez l’enfant est liee aux accidents de la voie publique. Une prise en charge adequate necessite la disponibilite d’un scanner cranioencephalique en urgence. Nous preconisons un renforcement de l’education et la communication s’agissant les accidents de la voie publique et la facilitation de l’acces a l’imagerie. ABSTRACT Introduction. The aim of this study was to assess the management of pediatric traumatic brain injuries (TBI) University Teaching Hospital of Brazzaville. Methods. We reviewed the data of children aged between one month and 17 years who were hospitalized in the surgery department of the University hospital of Brazzaville from January 2014 to December 2015, and selected those who were admitted for TBI. Our variables of interest were: epidemiology, clinical and diagnostic features, management and outcome. Results. During the study period, 66 children were admitted and 48 (72.72%) were admitted for TBI; 45 children (68.18%) were included in this study. There were 33 boys and 12 girls, and the average age was 9.73 years. Brain injury was secondary to road traffic accidents in 36 cases (80%), falls in 6 cases (13.33%), and aggression in 3 cases (6.66. The Glasgow clinical scale was less than or equal to eight in 12 cases (26.66%), between nine to 12 in 25 cases (55.55%) and between 13 and 15 in 8 cases (17.77%). The mean delay between trauma and CT scan was four days. Four cases (8.88%) were operated. Outcome 12 months after the injury was favorable in 26 cases (78.79%) and 12 children were lost to follow up. Conclusion. TBI in children are usually secondary to road traffic accidents and the delay between trauma and CT scan is too long. Since proper management requires immediate access to brain CT scan, education and communication should be reinforced and measures to facilitate access to medical imaging should be implemented. |
| File Format | PDF HTM / HTML |
| Volume Number | 19 |
| Alternate Webpage(s) | https://www.hsd-fmsb.org/index.php/hsd/article/download/966/pdf_580 |
| Language | English |
| Access Restriction | Open |
| Content Type | Text |
| Resource Type | Article |
