Journal article
Penetrating head injuries in children presenting to the emergency department in Australia and New Zealand: A PREDICT prospective study
FE Babl, MD Lyttle, S Bressan, ML Borland, N Phillips, A Kochar, S Dalton, JA Cheek, Y Gilhotra, J Furyk, J Neutze, S Donath, S Hearps, M Arpone, L Crowe, SR Dalziel, R Barker, E Oakley
Journal of Paediatrics and Child Health | WILEY | Published : 2018
DOI: 10.1111/jpc.13903
Abstract
Aim: Penetrating head injuries (pHIs) are associated with high morbidity and mortality. Data on pHIs in children outside North America are limited. We describe the mechanism of injuries, neuroimaging findings, neurosurgery and mortality for pHIs in Australia and New Zealand. Methods: This was a planned secondary analysis of a prospective observational study of children 24 h, admission >2 days and abnormal computed tomography). Results: Of 20 137 evaluable patients with a head injury, 21 (0.1%) were identified to have sustained a pHI. All injuries were of non-intentional nature, and there were no gunshot wounds. The mechanisms of injuries varied from falls, animal attack, motor vehicle crashe..
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Awarded by Murdoch Children's Research Institute
Funding Acknowledgements
We thank the participating families, ED staff and research staff at participating sites. The study was funded by grants from the National Health and Medical Research Council (project grant GNT1046727, Centre of Research Excellence for Paediatric Emergency Medicine GNT1058560), Canberra, Australia; the Murdoch Children's Research Institute, Melbourne, Australia; the Emergency Medicine Foundation (EMPJ-11162), Brisbane, Australia; Perpetual Philanthropic Services (2012/1140), Australia; Auckland Medical Research Foundation (No. 3112011) and the A+ Trust (Auckland District Health Board), Auckland, New Zealand; WA Health Targeted Research Funds 2013, Perth, Australia; and the Townsville Hospital and Health Service Private Practice Research and Education Trust Fund, Townsville, Australia, and was supported by the Victorian Government's Infrastructure Support Program, Melbourne, Australia. Franz Babl's time was partly funded by a grant from the Royal Children's Hospital Foundation, Melbourne, Australia; a Melbourne Children's Clinician Scientist Fellowship, Melbourne, Australia; and an NHMRC Practitioner Fellowship, Canberra, Australia. Stuart Dalziel's time was partly funded by the Health Research Council of New Zealand (HRC13/556).