| ORIGINAL ARTICLE
|Year : 2019 | Volume
| Issue : 3 | Page : 127-132
Clinical parameters, management, and outcomes of childhood traumatic brain injury in Ilorin
Ayodeji S Yusuf1, Nurudeen A Adeleke1, Habeeb K Omokanye2, AbdulRasheed A Nasir3, Oluwasegun A Kolade1
1 Division of Neurosurgery, Department of Surgery, University of Ilorin Teaching Hospital and College of Health Sciences University of Ilorin, Ilorin, Nigeria
2 Department of Ear Nose and Throat Surgery, University of Ilorin Teaching Hospital and College of Health Sciences University of Ilorin, Ilorin, Nigeria
3 Division of Pediatrics Surgery, Department of Surgery, University of Ilorin Teaching Hospital and College of Health Sciences University of Ilorin, Ilorin, Nigeria
Background: Traumatic brain injury (TBI) is common among children, accounting for 75% of children hospitalized for trauma. Childhood TBI is a leading cause of death from trauma in the pediatric age group and the incidence is on the rise globally. Objective: The objective of this study was to determine the etiology, management, and outcome of childhood TBI in our setting. Subjects and Methods: This is a retrospective study of all cases of childhood TBI. Relevant data extracted from case records were analyzed using a 2011 Statistical Package for the Social Sciences (SPSS; IBM, Armonk, New York) software for Windows, version 20. Results: A total of 168 children with TBI were studied. Of which, 109 (65%) were males and 59 (35%) were females (male/female ratio of 13:7, mean age, 7 ± 4 years). Most of the injuries (138, 82%) occurred outdoor; road traffic crash and fall accounted for 101 (60.1%) and 47 (27.9%) cases, respectively. Pedestrian motor vehicular accident accounted for 41 (41.8%) cases, whereas 30 (30.6%) were due to motorcycle road traffic crash. Good recovery was recorded in 138 (81%) patients, 22 (13.1%) had moderate disability. Mortality rate was 6%. Conclusion: Brain injury from trauma still constitutes a significant part of childhood morbidity and mortality in our setting; these deaths are avoidable in most cases. The outlook can be better if preventive efforts are geared toward domestic and road safety campaign.
Dr. Habeeb K Omokanye
Department of Ear, Nose, and Throat, University of Ilorin Teaching Hospital, University of Ilorin, PMB 1515, Zip code 240001, Kwara State.
Source of Support: None, Conflict of Interest: None
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