| Abstract | Kraniocerebralne ozljede vrlo su česte u djece, razlog tome može biti u tome što djeca nemaju razvijenu procjenu opasnosti, sklona su padovima i raznim nezgodama koje mogu rezultirati ozljedom glave. S obzirom da su djeca vrlo osjetljiva populacija samo zbrinjavanje zahtjeva posebnu liječničku skrb te predstavlja izazov zdravstvenom osoblju u liječenju.
Cilj ovog istraživanja bio je procijeniti incidenciju kraniocerebralnih ozljeda te ishod liječenja u djece koja su u razdoblju od siječnja 2016. godine do prosinca 2018. godine hospitalizirana u Klinici za dječje bolesti Zagreb. Istraživanje je provedeno analizom medicinske dokumentacije kojom su dobiveni podaci o broju djece s kraniocerebralnim ozljedama kao i broju hospitaliziranih s obzirom na spol i dobnu skupinu. Prikupljeni su podaci o djeci čije je stanje zahtjevalo hitnu kiruršku intervenciju i zbrinjavanje u Jedinici intenzivnog liječenja, te prosječno vrijeme trajanja hospitalizacije. Podaci iz Bolničkog informatičkog sustava obuhvaćali su podatke o mehanizmu nastanka ozljede te mjestu ozljeđivanja kao i krajnjem ishodu liječenja. U razdoblju od 2016. do 2018. godine u Klinici za dječje bolesti Zagreb hospitalizirano je ukupno 984 djece. Najviše su hospitalizirana djeca u dobi 12-18 godina 307 (31,20%) dok su se najmanje na bolničko liječenje zaprimala dojenčad 162 (16,46%). Prosječna dob djece iznosila je 7,95. Od hospitaliziranih pacijenata njih 2,03% zahtjevalo je kiruršku intervenciju, a 6,02% intenzivno praćenje.
Kod mehanizma nastanka ozljede podaci su podijeljeni u tri skupine: pad čiji ukupni broj iznosi 612 (62,19%), prometna 67 (6,81%) te udarac 305 (31%). Najveći broj ispitanika ozljedu je zadobilo kod kuće 365 (37,09%), dok je najmanji broj ozljeda zabilježen u vrtiću 29 (2,95%) te stradavanjem kao suvozač 29 (2,95%). Najčešća dijagnoza u hospitalizirane djece bila je površinska ozljeda vlasišta (89,23%), dok je najmanji broj djece hospitaliziran s dijagnozom fokalne ozljede mozga (0,2%). Najveći udio ispitanika za ishod je imalo izliječenje 965 (98,07%) dok je u razdoblju od tri godine petero djece nažalost preminulo (0,51%). |
| Abstract (english) | Craniocerebral injuries are very common in children, the reason for this may be that children do not have a developed risk assessment, they are prone to falls and various accidents that can result in a head injury. Since children are a very vulnerable population, treatment requires special medical care and poses a challenge to medical staff in treatment.
The aim of this study was to assess the incidence of craniocerebral injuries and the outcome of treatment in children who were hospitalized in the Clinic for Children's Diseases of Zagreb in the period from January 2016 to December 2018. The research was conducted by analyzing medical documentation which obtained data on the number of children with craniocerebral injuries as well as the number of hospitalized according to gender and age group. Data were collected on children whose condition required urgent surgical intervention and care in the Intensive Care Unit, as well as the average duration of hospitalization. Data from the Hospital Information System included data on the mechanism of injury and the location of the injury as well as the final outcome of treatment. In the period from 2016 to 2018, a total of 984 children were hospitalized at the Children's Hospital Zagreb. Children aged 12-18 were hospitalized the most (307; 31.20%), while infants were the least hospitalized (162; 16.46%). The average age of the children was 7.95. Of the hospitalized patients, 2.03% required surgical intervention and 6.02% intensive monitoring.
In the mechanism of injury, the data were divided into three groups: fall - whose total number was 612 (62.20%), traffic - 67 (6.80%) and a hit - 305 (31%). The largest number of respondents suffered injuries at home (365; 37.10%), while the lowest number of injuries was recorded in kindergarten (29; 2.95%) and casualties as a co-driver (29; 2.95%). The most common diagnosis in hospitalized children was a superficial scalp injury (89.22%), while the smallest number of children were hospitalized with a diagnosis of focal brain injury (0.2%). The largest share of respondents had a cure for the outcome (965; 98.07%), while in a period of three years, five children unfortunately died (5; 0.51%). |
