American Journal of Public Health Research
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American Journal of Public Health Research. 2015, 3(4A), 76-79
DOI: 10.12691/ajphr-3-4A-16
Open AccessResearch Article

Pediatric Head Injuries in a Neurosurgery Center of Nepal: An Epidemiological Perspective

Bal Gopal Karmacharya1, and Bidur Acharya1

1Neurosurgery Unit, Manipal Teaching Hospital, Pokhara, Nepal

Pub. Date: June 26, 2015
(This article belongs to the Special Issue Maternal and Child Health)

Cite this paper:
Bal Gopal Karmacharya and Bidur Acharya. Pediatric Head Injuries in a Neurosurgery Center of Nepal: An Epidemiological Perspective. American Journal of Public Health Research. 2015; 3(4A):76-79. doi: 10.12691/ajphr-3-4A-16


Children aged 0-14 years constitute about 34.6% of the Nepalese population. Head injuries remain a significant factor among trauma related deaths. To carry out preventive measures for traumatic brain injuries we need epidemiological evidences so that preventive measures can be taken. The aim of this study was to explore the causes and outcome of traumatic brain injuries in children. This study was a descriptive study of all children who presented with head injuries to the Neurosurgery Unit of Manipal teaching Hospital in Pokhara. We studied demographic variables, causes of head injury, severity of head injuries, presenting features, operative procedures carried out and outcome of head injuries. Two hundred and eighty seven pediatric head injury patients aged 0 to 15 years were admitted from January 2013 to June 2014. The results indicated that fall from height accounted for 67.94% of head injury, majority of falls being from the windows and roofs. Mild head injuries were most common. Although majority of patients had a good recovery, mortality among severe, moderate and mild head injury was 44.44%, 3.33% and 0.91% respectively. Preventive measures should be taken to reduce these head injuries.

Head Injury Glasgow Coma Scale Preventive Measures

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[1]  Central Bureau of Statistics, Government of Nepal. Population Monograph of Nepal, Kathmandu, 2014, 84-85.
[2]  Styrke, J., Stalnacke, B., Sojka, P. and Bjorstig Traumatic brain injuries in a well-defined population: epidemiological aspects and severity. Journal of Neurotrauma 2007; 24: 1425-1436.
[3]  Koepsell, T.D., Rivara, F.P., Vavilala, M.S., Wang, J., Temkin, N., Jaffe, K.M. and Durbin, D.R. Incidence and descriptive epidemiologic features of traumatic brain injury in King County, Washington. Pediatrics 2007; 128: 946-954.
[4]  Kim, H.B., Kim, D.K., Kwak, Y.H., Shin, S.D., Song, K.J., Lee, S.C., Park, J.O., Jang, H.Y. and Kim, S.C. Epidemiology of traumatic head injury in Korean children. Emergency and Critical Care Medicine 2012; 27: 437-442.
[5]  Agrawal A, Agrawal CS, Kumar A, Lewis O, Malla G, Khatiwada R, Rokaya P. Epidemiology and management of paediatric head injury in eastern Nepal. Afr J Paediatr Surg. 2008 Jan-Jun; 5 (1): 15-8.
[6]  Teasdale G, Jennett B. Assessment of coma and impaired conciousness: a practical scale. Lancet. 1974; 2: 81-84.
[7]  Morray JP, Tyler DC, Jones TK, Stuntz JT, Lemire RJ Coma scale for use in brain-injured children. Crit Care Med 1984; 12: 1018-1020.
[8]  Jennett, B; Bond, M. Assessment of outcome after severe brain damage. Lancet 1975; 1 (7905): 480-487.
[9]  Sathian B, Sreedharan J, Baboo SN, Sharan K, Abhilash ES, Rajesh E. Relevance of Sample Size Determination in Medical Research. Nepal J Epidemiol. 2010: 1 (1): 4-10.
[10]  Bhargava P, Singh R, Prakash B, and Sinha R. Pediatric head injury: An epidemiological study. J Pediatr Neurosci. 2011 Jan-Jun; 6 (1): 97-98.
[11]  SirajMus, Haq M, Malik NA, AzizA, SaeedR. Head injury in paediatric age group. Journal of Surgery Pakistan (International) Oct-Dec 2010; 15 (4).