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Predictive Factors for Brain Lesions in Pediatric Head Trauma: A Multicenter Study in Madagascar

Author

Listed:
  • Tanjona Fanomezantsoa Ratovoarison

    (Joseph Ravoahangy Andrianavalona Hospital Center, Madagascar)

  • Zo Miantsa Harimbonona

    (Joseph Ravoahangy Andrianavalona Hospital Center, Madagascar)

  • Joseph Synèse Bemora

    (Joseph Ravoahangy Andrianavalona Hospital Center, Madagascar)

  • Ravymonyoddom Doeur

    (Preah Ang Duong Hospital, Cambodia)

  • Willy Ratovondrainy

    (Soavinandriana University Hospital Center, Madagascar)

  • Mamiarisoa Rabarijaona

    (Joseph Ravoahangy Andrianavalona Hospital Center, Madagascar)

  • Clément Andriamamonjy

    (Joseph Ravoahangy Andrianavalona Hospital Center, Madagascar)

Abstract

Pediatric traumatic brain injury (TBI) is a major cause of morbidity and mortality, requiring optimized management to minimize unnecessary radiation exposure. This multicenter retrospective study, conducted on2,438 hospitalized children with TBI, identified intracranial lesions in 42% of cases using computed tomography (CT). Statistical analysis revealed significant correlations between initial clinical parameters and the presence of intracranial injuries, particularly loss of consciousness and cerebral contusions (p = 0.03), as well as repeated vomiting and the detection of intracranial abnormalities (p = 0.02). These findings highlight the necessity of a targeted clinical approach for CT prescription, incorporating precise predictive criteria to improve risk stratification and optimize the management of pediatric TBI.

Suggested Citation

  • Tanjona Fanomezantsoa Ratovoarison & Zo Miantsa Harimbonona & Joseph Synèse Bemora & Ravymonyoddom Doeur & Willy Ratovondrainy & Mamiarisoa Rabarijaona & Clément Andriamamonjy, 2025. "Predictive Factors for Brain Lesions in Pediatric Head Trauma: A Multicenter Study in Madagascar," European Journal of Medical and Health Sciences, European Open Science, vol. 7(3), pages 98-100, May.
    • Handle: RePEc:epw:ejmed0:v:7:y:2025:i:3:id:42316
    DOI: 10.24018/ejmed.2025.7.3.2316
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