care in pediatric head injuries –nursing neuro surgery icu

Anu AntonyDepartment of Neurosurgery

JPNATC, AIIMSNew Delhi

Data reported by studies in trauma centers show that head injury represents 75-97% pediatric trauma deaths.

According to National Center for Health Statics the mortality rate from head trauma is 29% in pediatric population.(Pediatric head trauma , Albela stock ,2009)

BACKGROUNDNursing assessment of pediatric head injury cases

are difficult as GCS scoring system is not applicable to thisgroup and also managing head injured children in the same ICU with adults is challenging.Nurse plays a vital role as thereIs no pediatrician in our ICU

OBJECTIVETo assess outcome of admitted

pediatric head injury patients (< 12 years) as a surrogate marker for nursing care in the ICU

MATERIALS AND METHODSType of study – Prospective

Duration – 9 months (Jan 2011 – Sept 2011)

Variable – Age < 12 years

MODE OF INJURY

OTHERS-2

FALL FROM HEIGHT 82

RTA20

OBSERVATIONS

BOYS 70

GIRLS34

OBSERVATIONS No. of patients underwent surgical intervention- 49% (51)

OBSERVATIONDISTRIBUTION OF PATIENTS

DISTRIBUTION OF MORTALITY RATE

17 (33.3%)

OBSERVATION

OBSERVATIONS OVERALL MORTALITY RATE -19.23% (n-20)

OBSERVATION

COMpARISON OF DISCHARGE STATUS

Improved same Deteriorated

29(56.9%) 3(5.9%) 1(2%)

15(78.9%) 2(10.5%) 0

27(84.4%) 2(9.4%) 3(6.25%

OBSERVATIONS Average hospital stay 10 days

(range 2-94 days)

Patients still hospitalized at the

time of this study – 2

CONCLUSIONSThe mortality rates compare vary favorably with

international data.

This study shows that head injured children can

be managed appropriately in neurosurgery ICU

with nurses trained in neuro-nursing

THANK YOU