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Ann Emerg Med. 1995 Jul;26(1):37-41.

Pediatric basilar skull fracture: do children with normal neurologic findings and no intracranial injury require hospitalization?

Author information

1
Department of Pediatrics, University of Utah School of Medicine, Salt Lake City, USA.

Abstract

STUDY OBJECTIVE:

To delineate complications in patients with basilar skull fractures (BSFs) and normal neurologic findings, including computed tomography (CT) scans without intracranial injury, and to assess the need for hospitalization.

DESIGN:

Retrospective chart review.

PARTICIPANTS:

All emergency department patients with the ED diagnosis or hospital discharge diagnosis of BSF. Patients were included if they had a clinical or radiographic diagnosis of BSF. A subgroup of patients ("simple BSF") with normal neurologic examination findings in the ED, Glasgow Coma Scale scores of 15, and cranial CT scans without intracranial pathology was specifically analyzed.

RESULTS:

We included 239 patients in the study. One hundred fourteen patients (48%) were included in the "simple BSF" subgroup. In this subgroup, vomiting (6%) was the most common complication, meningitis (1%) the most serious. There were no cases of delayed intracranial hemorrhage, and no patient with "simple BSF" required surgery.

CONCLUSION:

Given the relatively low frequency of serious complications, our study suggests that some patients with BSFs may not require hospital admission.

Comment in

PMID:
7793718
DOI:
10.1016/s0196-0644(95)70235-0
[Indexed for MEDLINE]

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