Retrospective analysis of minor head injuries at the Department of Paediatrics, the Teaching Hospital and the Faculty of Medicine, Charles University in Pilsen in the years 2010-2014
Abstract
Describe a patient sample hospitalized at the Nursery and Infant Unit of the Department of Paediatrics, the Teaching Hospital and the Faculty of Medicine, Charles University in Piilsen for minor head injuries after falls from small height for the years 2010-2014, and, on the basis of the PECARN score and own sample data analysis, define proper management of these patients. On the basis of the retrospective analysis of our experience with children up to 1 year of age, hospitalized after falls on the head, we have proved that proper evaluation of medical history and clinical status are crucial to assess the risk of intracranial complications, and other additional examinations (for example: USG of the brain) are not beneficial in this respect.
The PECARN scoring systém allows safe identification of patients indicated for graphic scan of the brain (CT/MRI). Children with skull fissures belong to the group of patients with a higher risk of complications.