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ORIGINAL ARTICLE
Year : 2015  |  Volume : 10  |  Issue : 3  |  Page : 149-152

Outcome of pediatric head injury patients admitted as unknown at a level-i apex trauma centre


1 Department of Neurosurgery, Bangabandhu Sheikh Mujib Medical University, Dhaka, India
2 Department of Neurosurgery, All India Institute of Medical Science, New Delhi, India
3 Department of Neurosurgery, All India Institute of Medical Science, Bhubaneswar, Odisha, India

Correspondence Address:
Ashok Kumar Mahapatra
All India Institute of Medical Science, Bhuwaneshwar
India
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Source of Support: Nil, Conflict of Interest: None declared.


DOI: 10.4103/1793-5482.161183

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Objective: Patients with head injury who are not identified at admission are a challenge to manage and in this backdrop we decided to analyze our data of such pediatric patients for their outcome. Materials and Methods: It was a retrospective study conducted at the level-I trauma center. A total of 12 consecutive pediatric (<20 years) age group patients whose identities were not known at the time of admission were included in the study. Results: All 12 patients were male. The road traffic accident was the most common cause of injury (8, 67%). Mean age of the patients were 16.75 ± 4.45 years. Computerized tomography (CT) scan showed cerebral contusion in four (33%) patients. Six (50%) patients needed surgery and others were treated conservatively. During the course of hospital treatment, one (8%) patient died, two (16%) had good recovery, and four (33%) were moderately disabled. Among the 12 patients identity, eight (67%) could be ascertained. Seven (58%) patients were sent home with their relatives, one (8%) was referred to a district hospital and three (25%) remained as unknown and were referred to destitute home for rehabilitation. Conclusion: Unidentified patients of pediatric age group have better outcome if proper care is provided in time.


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