A Multicenter Study on the Clinical Characteristics and Outcomes Among Children With Moderate to Severe Abusive Head Trauma

Yock-Corrales A 1 , Lee JH 2 , Domínguez-Rojas JÁ 3 , Caporal P 4 , Roa JD 5 , Fernandez-Sarmiento J 6 Show all authors , González-Dambrauskas S 7 , Zhu Y 8 , Abbas Q 9 , Kazzaz Y 10 , Dewi DS 11 , Chong SL 12 , Pediatric Acute and Critical Care Medicine Asian Network (PACCMAN) and Red Colaborativa Pediátrica de Latino America (LARed) Networks

Affiliations 

  • 1 Emergency Department.Hospital Nacional de Niños ¨Dr. Carlos Sáenz Herrera. CCSS San José, Costa Rica. Electronic address: adriyock@gmail.com
  • 2 Children's Intensive Care Unit, KK Women's and Children's Hospital. Singapore
  • 3 Departamento de Áreas Críticas y Emergencias, Instituto Nacional de Salud del Niño.Lima, Peru
  • 4 Hospital Interzonal Especializado en Pediatría "Sor María Ludovica", Buenos Aires, Argentina
  • 5 Fundación Homi, Universidad Nacional de Colombia - FUCS, Bogotá, Colombia
  • 6 Department of Critical Care Medicine and Pediatrics, Universidad de La Sabana. Fundación Cardioinfantil-Instituto de Cardiología, Bogotá, Colombia
  • 7 Departamento de Pediatría y Unidad de Cuidados Intensivos de Niños del Centro Hospitalario Pereira Rossell, Facultad de Medicina, Universidad de la República Montevideo, Uruguay
  • 8 Singapore Clinical Research Institute, Consortium for Clinical Research and Innovation. Singapore
  • 9 Department of Paediatrics and Child Health Aga Khan University Karachi Pakistan Karachi, Karachi City, Sindh, Pakistan
  • 10 Department of Paediatrics, Ministry of National Guards Health Affairs, College of Medicine, King Saud bin Abdulaziz University for Health Sciences, King Abdullah International Medical Research Centre Riyadh, Saudi Arabia
  • 11 KK Research Centre, KK Women's and Children's Hospital, Singapore
  • 12 Department of Emergency Medicine, KK Women's and Children's Hospital, Singapore
J Pediatr Surg, 2024 Mar;59(3):494-499.
PMID: 37867044 DOI: 10.1016/j.jpedsurg.2023.09.038

Abstract

INTRODUCTION: We aimed to identify clinical characteristics, risk factors for diagnosis, and describe outcomes among children with AHT.

METHODS: We performed an observational cohort study in tertiary care hospitals from 14 countries across Asia and Ibero-America. We included patients <5 years old who were admitted to participating pediatric intensive care units (PICUs) with moderate to severe traumatic brain injury (TBI). We performed descriptive analysis and multivariable logistic regression for risk factors of AHT.

RESULTS: 47 (12%) out of 392 patients were diagnosed with AHT. Compared to those with accidental injuries, children with AHT were more frequently < 2 years old (42, 89.4% vs 133, 38.6%, p 

* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.

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