Evidence map›Paper›PMID 29725174›Full record

ArticleJournal of neurosciences in rural practice

Clinico-radiologic Profile of Pediatric Traumatic Brain Injury in Western Rajasthan.

Pawan Kumar Dara, Manish Parakh, Shyama Choudhary, Hemant Jangid, Priyanka Kumari, Satyendra Khichar

Open access · goldAbstract read
In one paragraph

Article in Journal of neurosciences in rural practice. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.3field-weighted citation impact, top 38% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Pawan Kumar DaraDepartment of Pediatrics, S P Medical College, Bikaner, Rajasthan, India.
Manish ParakhDepartment of Pediatrics, Dr. S. N. Medical College, Jodhpur, Rajasthan, India.
Shyama ChoudharyDepartment of Pediatrics, Dr. S. N. Medical College, Jodhpur, Rajasthan, India.
Hemant JangidDepartment of Radiodiagnosis, MDM Hospital, Jodhpur, Rajasthan, India.
Priyanka KumariDepartment of Anaesthesia, S P Medical College, Bikaner, Rajasthan, India.
Satyendra KhicharDepartment of Medicine, AIIMS, Jodhpur, Rajasthan, India.
Sardar Patel Medical College · INSarojini Naidu Medical College · INAll India Institute of Medical Sciences Jodhpur · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe aim of this study was to evaluate clinico-radiological profile and outcome of pediatric traumatic brain injury (TBI).

designProspective observational study.

settingIntensive Care Unit, ward and OPD of Pediatrics, Dr. S. N. Medical College, Jodhpur (tertiary care hospital).

participantsA total of 188 children (1 month-18 years) were enrolled and 108 admitted.

interventionTBI classified as mild, moderate, or severe TBI. Neuroimaging was done and managed as per protocol. Demographic profile, mode of transport, and injury were recorded. OUTCOME: Measured as hospital stay duration, focal deficits, mortality, and effect of early physiotherapy.

resultsMales slightly outnumbered females mean age was 5.41 ± 4.20 years. Fall from height was the main cause of TBI (61.11%) followed by road traffic accident (RTA) (27.78%). Majority (56.56%) reached hospital within 6 h of injury, out of which 27% of patients were unconscious. Mild, moderate, and severe grade of TBI was seen in 50%, 27.78%, and 22.22% of cases, respectively. About 12.96% of cases required ventilator support. The average duration of hospital stay was 11.81 ± 12.9 days and was lesser when physiotherapy and rehabilitation were started early. In all children with temporal bone fracture, magnetic resonance imaging (MRI) brain revealed a temporal lobe hematoma and contusion in spite of initial computed tomography (CT) head normal. Children who have cerebrospinal fluid (CSF) rhinorrhea/otorrhea had a high chance of fracture of base of skull and contusion of the basal part of the brain.

conclusionIn India, fall from height is common setting for pediatric TBI besides RTA. Early initiation of physiotherapy results in good outcome. MRI detects basal brain contusions in children presenting with CSF rhinorrhea/otorrhea even if initial CT brain is normal.

Indexed as

Accidentsbrain contusionsneuroimagingtraffic

Identifiers

PMID29725174
PMCPMC5912029
OpenAlexW2796579306

What OpenQuestion holds

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LicenceCC BY-NC-SA
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.