000			03277cam a2200349 a 4500
003			EG-GiCUC
005			20250223032717.0
008			210320s2020 ua dh f m 000 0 eng d
040			_aEG-GiCUC _beng _cEG-GiCUC
041	0		_aeng
049			_aDeposite
097			_aM.Sc
099			_aCai01.11.28.M.Sc.2020.Di.P
100	0		_aDina Said Abdelrazek Hussien
245	1	0	_aPrognostic factors of traumatic brain injury in children and their relation to the outcome in pediatric intensive care unit / _cDina Said Abdelrazek Hussien ; Supervised Hala Mohamed Amin Fouad , Hebat Allah Fadel Mahmoud Elgebaly , Sally Kamal Ibrahim Ishak
246	1	5	_aمؤشرات إصابات المخ و تأثيرها على النتائج فى الأطفال فى وحدة الرعاية المركزة
260			_aCairo : _bDina Said Abdelrazek Hussien , _c2020
300			_a127 P. : _bcharts , facsimiles ; _c25cm
502			_aThesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of Pediatrics
520			_aBackground: Head injury is a leading cause of morbidity and mortality among children. Understanding the prognostic factors will help to reduce their possible negative impact, together with the use of specific guidelines for treatment; can make a significant contribution to improve the prognosis of these patients. Aim: The aim of this study was to establish the prognostic factors of traumatic brain injury (TBI) in children and their relation to the outcome to decrease the rate of mortality & morbidity Methodology: This cohort study included 100 children with TBI at El Shiekh Zayed Specialized Hospital and Al Kasr Al Aini Emergency Hospital (7th floor). All patients were subjected to demographic classification, clinical assessment of vital signs, glascow coma score (GCS), pediatric trauma score (PTS), laboratory investigations and radiological investigations (CT scan).Results: We included a total of 100 children with a mean age of 6 y (±3.55), 57% were males and 43% were females. We conducted a regression analysis to identify risk factors that associated with bad outcome (death).The following factors were predictors for mortality; Presence of associated injuries (OR=1.12, P value= 0.01), cases presented with disturbed conscious level (OR= 2.14, P value<0.001) or vomiting (OR=1.23, P value<0.001), cases with hypotension (OR=7.96, P value= 0.01), cases with low GCS (OR=0.34, P value<0.001) or low Pediatric trauma score (OR=0.4, P value<0.001), cases with diabetes insipidus (OR=11.00, P value<0.001), anemia (OR=0.45, P value<0.001), thrombocytopenia (OR= 0.98, P value<0.001), or coagulopathy in the form of elevated INR (OR=12.55, P value<0.001) or decreased PC (OR=0.89, P value<0.001), hyperglycemia (OR=1.02, P value<0.001), Presence of hemorrhage in CT (OR=14.33, P value= 0.01)
530			_aIssued also as CD
653		4	_aDiabetes insipidus
653		4	_aGlasgow Coma Score
653		4	_aHead injury
700	0		_aHala Mohamed Amin Fouad , _eSupervisor
700	0		_aHebat Allah Fadel Mahmoud Elgebaly , _eSupervisor
700	0		_aSally Kamal Ibrahim Ishak , _eSupervisor
856			_uhttp://172.23.153.220/th.pdf
905			_aNazla _eRevisor
905			_aShimaa _eCataloger
942			_2ddc _cTH
999			_c80290 _d80290