Mortality and head injury: the pediatric perspective

J Pediatr Surg. 1990 Jan;25(1):92-5; discussion 96. doi: 10.1016/s0022-3468(05)80170-8.


The records of 10,098 children entered into the National Pediatric Trauma Registry (NPTR) were analyzed to define the characteristics of pediatric head injury and the impact of extracranial trauma on Central Nervous System (CNS) injury. The 4,400 NPTR head injuries were then compared with 16,524 head injuries recently reported from a predominantly adult trauma registry to illustrate potential population differences. Results indicate that children have a lower mortality, that the addition of extracranial injury significantly reduces recovery potential, that CNS injury is the predominant and most common cause of pediatric traumatic death, and that the automobile is the most lethal component of a child's environment.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, Non-P.H.S.
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adult
  • Age Factors
  • Brain Injuries / epidemiology
  • Brain Injuries / mortality
  • Child, Preschool
  • Craniocerebral Trauma / epidemiology
  • Craniocerebral Trauma / mortality*
  • Humans
  • Infant
  • Infant, Newborn
  • Registries
  • Trauma Centers
  • Trauma Severity Indices
  • United States / epidemiology