Allawati Moosa, Al-Kindi Yahya, Al Jaadi Said, Al-Saadi Tariq
College of Medicine and Health Sciences, Sultan Qaboos University, Muscat 123, Sultanate of Oman.
Oman Medical Specialty Board, Muscat 130, Sultanate of Oman.
Med Int (Lond). 2024 Jul 23;4(6):58. doi: 10.3892/mi.2024.182. eCollection 2024 Nov-Dec.
The present retrospective study was conducted in an aim to examine the differences between pediatric traumatic brain injury (TBI) cases referred to and those admitted directly to the hospital. For this purpose, pediatric patients who presented to a main trauma center with TBI between January, 2015 and December, 2019 were reviewed retrospectively, emphasizing whether they were admitted directly or referred from another center. Data collected included the demographic characteristics of the patients, as well as their presenting complaints and the cause of TBI. A total of 981 cases of pediatric TBI were admitted over the 5-year period. The average age of the patients was 58.1 months for the referred cases and almost 50 months for the patients directly admitted. The male sex accounted for 63.6% of all cases. The most common cause of injury was falling (63.5%). Nausea and vomiting were the most typical presenting symptoms, occurring more among the directly admitted cases (P-value ≤0.05). Mild TBI accounted for 85.3% of the cases, and the most common radiological diagnosis was skull fracture (37.4%) (P-value ≤0.004). The referred patients had a more extended hospital stay (P-value ≤0.001). On the whole, the present study identified 981 cases; the majority of these were direct admissions, and the majority of the severe cases were referred from other healthcare facilities. Further research is required on this topic as only a single hospital was covered herein, and patients were not followed-up after discharge. A multi-center analysis would cover a greater number of patients and would thus provide more substantial data on the topic.
本回顾性研究旨在探讨转诊至医院的小儿创伤性脑损伤（TBI）病例与直接入院的病例之间的差异。为此，对2015年1月至2019年12月期间在一家主要创伤中心就诊的小儿TBI患者进行了回顾性研究，重点关注他们是直接入院还是从其他中心转诊而来。收集的数据包括患者的人口统计学特征、就诊主诉以及TBI的病因。在这5年期间，共收治了981例小儿TBI病例。转诊病例的患者平均年龄为58.1个月，直接入院患者的平均年龄近50个月。男性占所有病例的63.6%。最常见的受伤原因是跌倒（63.5%）。恶心和呕吐是最典型的就诊症状，在直接入院的病例中更为常见（P值≤0.05）。轻度TBI占病例的85.3%，最常见的放射学诊断是颅骨骨折（37.4%）（P值≤0.004）。转诊患者的住院时间更长（P值≤0.001）。总体而言，本研究共纳入981例病例；其中大多数是直接入院患者，大多数重症病例是从其他医疗机构转诊而来。由于本研究仅涵盖一家医院，且患者出院后未进行随访，因此需要对该主题进行进一步研究。多中心分析将涵盖更多患者，从而提供关于该主题更丰富的数据。
