Fall-related traumatic brain injury in a Nigerian pediatric population
•Our study identifies falls as a common mechanism of TBI in our practice.•The older children fell more from trees and sustained injuries associated with high mortality.•About a third of the patients presented with early post-traumatic seizures.•Associated injuries varied with age; those greater than...
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| Veröffentlicht in: | Journal of clinical neuroscience 2023-03, Vol.109, p.26-31 |
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| container_title | Journal of clinical neuroscience |
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| creator | Balogun, James A. Koko, Aliyu M. Adebayo, Adegboyega Aniaku, Ikechukwu Lasseini, Ali Balogun, Folusho M. Uche, Enoch O. |
| description | •Our study identifies falls as a common mechanism of TBI in our practice.•The older children fell more from trees and sustained injuries associated with high mortality.•About a third of the patients presented with early post-traumatic seizures.•Associated injuries varied with age; those greater than 5 sustained long bone fractures while the younger children sustained ocular injury.•Awareness of fall as a serious public health challenge should trigger a concerted advocacy aimed at driving the required policy change across relevant levels of government.
Accidental falls are a common cause of disability and trauma-related death in the pediatric population, accounting for a large number of pediatric emergency hospital admissions. This multicenter study assesses the clinical characteristics, management outcomes of pediatric falls-related traumatic brain injury and associated factors in Nigeria.
A retrospective study of pediatric patients (age less than 18-years) with falls over a 2-year period. Data was extracted from clinical records and neurosurgical data sheets from three major centres in Nigeria, and was analyzed using descriptive statistics, Chi square test and multinomial regression with significance set at p |
| doi_str_mv | 10.1016/j.jocn.2023.01.007 |
| format | Article |
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Accidental falls are a common cause of disability and trauma-related death in the pediatric population, accounting for a large number of pediatric emergency hospital admissions. This multicenter study assesses the clinical characteristics, management outcomes of pediatric falls-related traumatic brain injury and associated factors in Nigeria.
A retrospective study of pediatric patients (age less than 18-years) with falls over a 2-year period. Data was extracted from clinical records and neurosurgical data sheets from three major centres in Nigeria, and was analyzed using descriptive statistics, Chi square test and multinomial regression with significance set at p < 0.05.
128 children presented with fall-related TBI, with a median age of 96 months (age range of 5–216 months) and M:F was 6:1. 40.6 % had moderate head injury and 55.5 % of the falls were building related. There were 52(42.6 %) children with skull fractures. Older children more commonly fell from trees and had more cases of severe head injury (14.1 %) compared with those who fell from buildings (5.5 %). Children who fell from buildings presented early (64.1 %). The 10 % mortality was mainly in children older than 5-years. Children aged 0–5 years were three times likely to fall inside/outside a building (OR: 3.3, CI: 3.06 to 243.44). Also, those who fell from trees were 6 times more likely to have a long bone fracture (OR: 6.1, CI: 1.2 to 32.6).
In the Nigerian population Traumatic Brain Injury from falls is common among children, with older children falling more from trees and associated with high mortality.</description><identifier>ISSN: 0967-5868</identifier><identifier>EISSN: 1532-2653</identifier><identifier>DOI: 10.1016/j.jocn.2023.01.007</identifier><identifier>PMID: 36642033</identifier><language>eng</language><publisher>Scotland: Elsevier Ltd</publisher><subject>Accidental Falls ; Adolescent ; Brain Injuries, Traumatic - complications ; Brain Injuries, Traumatic - epidemiology ; Child ; Children ; Craniocerebral Trauma ; Fall ; Hospitalization ; Humans ; Nigeria ; Retrospective Studies ; Traumatic Brain Injury</subject><ispartof>Journal of clinical neuroscience, 2023-03, Vol.109, p.26-31</ispartof><rights>2023 Elsevier Ltd</rights><rights>Copyright © 2023 Elsevier Ltd. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c286t-c4786324cdced43936eb9b904bd1a3e274343d0ec70506227782bc775810bafd3</citedby><cites>FETCH-LOGICAL-c286t-c4786324cdced43936eb9b904bd1a3e274343d0ec70506227782bc775810bafd3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jocn.2023.01.007$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36642033$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Balogun, James A.</creatorcontrib><creatorcontrib>Koko, Aliyu M.</creatorcontrib><creatorcontrib>Adebayo, Adegboyega</creatorcontrib><creatorcontrib>Aniaku, Ikechukwu</creatorcontrib><creatorcontrib>Lasseini, Ali</creatorcontrib><creatorcontrib>Balogun, Folusho M.</creatorcontrib><creatorcontrib>Uche, Enoch O.</creatorcontrib><title>Fall-related traumatic brain injury in a Nigerian pediatric population</title><title>Journal of clinical neuroscience</title><addtitle>J Clin Neurosci</addtitle><description>•Our study identifies falls as a common mechanism of TBI in our practice.•The older children fell more from trees and sustained injuries associated with high mortality.•About a third of the patients presented with early post-traumatic seizures.•Associated injuries varied with age; those greater than 5 sustained long bone fractures while the younger children sustained ocular injury.•Awareness of fall as a serious public health challenge should trigger a concerted advocacy aimed at driving the required policy change across relevant levels of government.
Accidental falls are a common cause of disability and trauma-related death in the pediatric population, accounting for a large number of pediatric emergency hospital admissions. This multicenter study assesses the clinical characteristics, management outcomes of pediatric falls-related traumatic brain injury and associated factors in Nigeria.
A retrospective study of pediatric patients (age less than 18-years) with falls over a 2-year period. Data was extracted from clinical records and neurosurgical data sheets from three major centres in Nigeria, and was analyzed using descriptive statistics, Chi square test and multinomial regression with significance set at p < 0.05.
128 children presented with fall-related TBI, with a median age of 96 months (age range of 5–216 months) and M:F was 6:1. 40.6 % had moderate head injury and 55.5 % of the falls were building related. There were 52(42.6 %) children with skull fractures. Older children more commonly fell from trees and had more cases of severe head injury (14.1 %) compared with those who fell from buildings (5.5 %). Children who fell from buildings presented early (64.1 %). The 10 % mortality was mainly in children older than 5-years. Children aged 0–5 years were three times likely to fall inside/outside a building (OR: 3.3, CI: 3.06 to 243.44). Also, those who fell from trees were 6 times more likely to have a long bone fracture (OR: 6.1, CI: 1.2 to 32.6).
In the Nigerian population Traumatic Brain Injury from falls is common among children, with older children falling more from trees and associated with high mortality.</description><subject>Accidental Falls</subject><subject>Adolescent</subject><subject>Brain Injuries, Traumatic - complications</subject><subject>Brain Injuries, Traumatic - epidemiology</subject><subject>Child</subject><subject>Children</subject><subject>Craniocerebral Trauma</subject><subject>Fall</subject><subject>Hospitalization</subject><subject>Humans</subject><subject>Nigeria</subject><subject>Retrospective Studies</subject><subject>Traumatic Brain Injury</subject><issn>0967-5868</issn><issn>1532-2653</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kLFOwzAURS0EoqXwAwwoI0vCs53YicSCKgpIFSwwW479ihylSbATpP49rloYme5y7pXuIeSaQkaBirsma3rTZQwYz4BmAPKEzGnBWcpEwU_JHCoh06IU5YxchNAAQJVzOCczLkTOgPM5Wa1026YeWz2iTUavp60enUlqr12XuK6Z_C5GopNX94ne6S4Z0Do9-ggN_TDFouu7S3K20W3Aq2MuyMfq8X35nK7fnl6WD-vUsFKMqcllKTjLjTVoc15xgXVVV5DXlmqOTOY85xbQSChAMCZlyWojZVFSqPXG8gW5PewOvv-aMIxq64LBttUd9lNQTAoBQlBOI8oOqPF9CB43avBuq_1OUVB7f6pRe39q708BVdFfLN0c96d6i_av8issAvcHAOPLb4deBeOwi3ecRzMq27v_9n8ASqGAmw</recordid><startdate>202303</startdate><enddate>202303</enddate><creator>Balogun, James A.</creator><creator>Koko, Aliyu M.</creator><creator>Adebayo, Adegboyega</creator><creator>Aniaku, Ikechukwu</creator><creator>Lasseini, Ali</creator><creator>Balogun, Folusho M.</creator><creator>Uche, Enoch O.</creator><general>Elsevier Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>202303</creationdate><title>Fall-related traumatic brain injury in a Nigerian pediatric population</title><author>Balogun, James A. ; Koko, Aliyu M. ; Adebayo, Adegboyega ; Aniaku, Ikechukwu ; Lasseini, Ali ; Balogun, Folusho M. ; Uche, Enoch O.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c286t-c4786324cdced43936eb9b904bd1a3e274343d0ec70506227782bc775810bafd3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Accidental Falls</topic><topic>Adolescent</topic><topic>Brain Injuries, Traumatic - complications</topic><topic>Brain Injuries, Traumatic - epidemiology</topic><topic>Child</topic><topic>Children</topic><topic>Craniocerebral Trauma</topic><topic>Fall</topic><topic>Hospitalization</topic><topic>Humans</topic><topic>Nigeria</topic><topic>Retrospective Studies</topic><topic>Traumatic Brain Injury</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Balogun, James A.</creatorcontrib><creatorcontrib>Koko, Aliyu M.</creatorcontrib><creatorcontrib>Adebayo, Adegboyega</creatorcontrib><creatorcontrib>Aniaku, Ikechukwu</creatorcontrib><creatorcontrib>Lasseini, Ali</creatorcontrib><creatorcontrib>Balogun, Folusho M.</creatorcontrib><creatorcontrib>Uche, Enoch O.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of clinical neuroscience</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Balogun, James A.</au><au>Koko, Aliyu M.</au><au>Adebayo, Adegboyega</au><au>Aniaku, Ikechukwu</au><au>Lasseini, Ali</au><au>Balogun, Folusho M.</au><au>Uche, Enoch O.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Fall-related traumatic brain injury in a Nigerian pediatric population</atitle><jtitle>Journal of clinical neuroscience</jtitle><addtitle>J Clin Neurosci</addtitle><date>2023-03</date><risdate>2023</risdate><volume>109</volume><spage>26</spage><epage>31</epage><pages>26-31</pages><issn>0967-5868</issn><eissn>1532-2653</eissn><abstract>•Our study identifies falls as a common mechanism of TBI in our practice.•The older children fell more from trees and sustained injuries associated with high mortality.•About a third of the patients presented with early post-traumatic seizures.•Associated injuries varied with age; those greater than 5 sustained long bone fractures while the younger children sustained ocular injury.•Awareness of fall as a serious public health challenge should trigger a concerted advocacy aimed at driving the required policy change across relevant levels of government.
Accidental falls are a common cause of disability and trauma-related death in the pediatric population, accounting for a large number of pediatric emergency hospital admissions. This multicenter study assesses the clinical characteristics, management outcomes of pediatric falls-related traumatic brain injury and associated factors in Nigeria.
A retrospective study of pediatric patients (age less than 18-years) with falls over a 2-year period. Data was extracted from clinical records and neurosurgical data sheets from three major centres in Nigeria, and was analyzed using descriptive statistics, Chi square test and multinomial regression with significance set at p < 0.05.
128 children presented with fall-related TBI, with a median age of 96 months (age range of 5–216 months) and M:F was 6:1. 40.6 % had moderate head injury and 55.5 % of the falls were building related. There were 52(42.6 %) children with skull fractures. Older children more commonly fell from trees and had more cases of severe head injury (14.1 %) compared with those who fell from buildings (5.5 %). Children who fell from buildings presented early (64.1 %). The 10 % mortality was mainly in children older than 5-years. Children aged 0–5 years were three times likely to fall inside/outside a building (OR: 3.3, CI: 3.06 to 243.44). Also, those who fell from trees were 6 times more likely to have a long bone fracture (OR: 6.1, CI: 1.2 to 32.6).
In the Nigerian population Traumatic Brain Injury from falls is common among children, with older children falling more from trees and associated with high mortality.</abstract><cop>Scotland</cop><pub>Elsevier Ltd</pub><pmid>36642033</pmid><doi>10.1016/j.jocn.2023.01.007</doi><tpages>6</tpages></addata></record> |
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| subjects | Accidental Falls Adolescent Brain Injuries, Traumatic - complications Brain Injuries, Traumatic - epidemiology Child Children Craniocerebral Trauma Fall Hospitalization Humans Nigeria Retrospective Studies Traumatic Brain Injury |
| title | Fall-related traumatic brain injury in a Nigerian pediatric population |
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