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CANADIAN PAEDIATRIC SOCIETY ANNUAL CONFERENCE
Large and boggy lesions pose greater risk than small and isolated ones
In children who suffer a minor head injury, the size and location of a scalp hematoma is an independent risk factor for skull fracture and intracranial injury (ICI).
Researchers based at the Children's Hospital of Eastern Ontario in Ottawa found large and boggy scalp hematomas in parietal, temporal or occipital locations present the greatest risk of ICI, while frontal and small, a localized hematomas carry less risk.
The findings were from a secondary analysis of data from the Canadian Assessment of Tomography for Childhood Head Injury (CATCH) study, a prospective cohort study at io Canadian pediatric teaching hospitals. Dr. Emma Burns presented the study results in a poster session of the recent Canadian Paediatric Society annual conference here.
The CATCH study included 3,866 consecutive patients up to 16 years old who presented within 24 hours of suffering blunt head trauma. They were enrolled if they presented with a Glasgow Coma Scale...