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  • Outcome and Patterns of Traumatic Brain Injury in Paediatric Population of a Developing Country Secondary to TV-Trolley Tip Over

    Final Number:

    Badar Uddin Ujjan MD

    Study Design:

    Subject Category:

    Meeting: Congress of Neurological Surgeons 2016 Annual Meeting

    Introduction: TV trolley tip over incidences are common and can cause significant morbidity and mortality in children. This study was aimed at analyzing the pattern and outcomes of head injury resulting from TV trolley tipover

    Methods: This was a medical chart review of children with TV trolley tipover head injury from January 2009 to October 2015.We collected data on demographics, mechanism of injury, clinical and radiological features of injury and its outcomes. Outcomes of head injury were measured through Glasgow Outcome Scale (GOS) at 6 months. A descriptive analysis was carried out using SPSS v 19 (IBM, Chicago IL)

    Results: Twenty one children were included in the study. Fifteen children were male with a mean age of 29.6 months. Most of the children (n=16) were aged between 12 to 35 months. The median GCS score on admission was 15. The median Rotterdam score for the patients was 2.0. The common symptoms on admission were vomiting, irritability, scalp laceration and bruises. The median length of stay was 3 days. Skull bone fractures were present in 11 children. Other CT findingsincluded contusions, extradural and subdural hematomas, intraventricular hemorrhage and pneumocranium.Surgical intervention was required in 4 cases. Although most of the patients made good recovery (GOS=5), 1 patient had develop mild disability and another died in hospital

    Conclusions: TV trolley tipover is mostly common in toddlers, and can lead to significant head injury and mortality. This can be avoided by parental supervision and adjustments in the household.

    Patient Care: After this type of studies one can set proper parental guidelines for injury prevention and adaptation of measures to reduce the risk for such type of injury.

    Learning Objectives: Buy a stand designed specifically for your TV by the manufacturer All furniture should be stable on its own prior to being used as a support device Secure the TV to the stand and the stand to the wall or floor Televisions should be as low to the floor as possible Push the TV as far back on the stand as possible Do not put a TV on furniture on drawers that can be pulled out by children and used to climb

    References: 1. Hyder AA, Sugerman DE, Puvanachandra P, et al. Global childhood unintentional injury surveillance in four cities in developing countries: a pilot study. Bull World Health Organ. 2009;87:345–352. 2. Peden M. World Report on Child Injury Prevention. Geneva: World Health Organization & United Nations Children’s Fund; 2008. 3. Borse NN, Gilchrist J, Dellinger AM, Rudd RA, Ballesteros MF, Sleet DA. CDC Childhood Injury Report: Patterns of Unintentional Injuries among 0 -19 Year Olds in the United States, 2000-2006. Atlanta (GA): Centers for Disease Control and Prevention, National Center for Injury Prevention and Control; 2008. 4. Mathers C, Fat DM, Boerma J. The Global Burden of Disease: World Health Organization. The World Health Report 2004. Geneva: WHO; 2004. 5. WHO. World report on child injury prevention. WHO. 2008. Available at – accessed December 2009 6. Phelan KJ, Khoury J, Xu Y, et al. A randomized controlled trial of home injury hazard reduction: the HOME injury study. Arch Pediatr Adolesc Med. 2011;65:339–345. 7. Dershewitz RA, Williamson JW. Prevention of childhood household injuries: a controlled clinical trial. Am J Public Health. 1977;67:1148–1153. 8. Sikron F, Glasser S, Peleg K (2007) Children injured following TV tipovers in Isreal, 1997–2003. Child Care Health Dev 33:45–51 9. Murray KJ, Griffin R, Rue LW 3rd et al (2009) Recent trends in television tip over-related injuries among children aged 0–9 years. InjPrev 15(4):240–243 10. Ota FS, Maxson RT, Okada PJ (2006) Childhood injuries caused by falling televisions. AcadEmerg Med 13(6):700–703 11. Scheidler, Michael G., Barbara L. Shultz, Laura Schall, AnixVyas, and Edward M. Barksdale. "Falling Televisions: The Hidden Danger for Children." Journal of Pediatric Surgery: 572-75. Print. 12. Bernard PA, Johnston C, Curtis SE, et al: Toppled television sets cause significant pediatric morbidity and mortality. Pediatrics 102:E32, 1998 13. Roo, A. C. De, T. Chounthirath, and G. A. Smith. "Television-Related Injuries to Children in the United States, 1990- 2011." Pediatrics (2013): 267-74. Print. 14. Rutkoski, J.d., B.a. Gaines, and M. Sippey. "Traumatic Television Tip-Overs in the Pediatric Population." Journal of Surgical Research: 418. Print. 15. Gokhan, Servan, OzkanKose, AyhanOzhasenekler, Murat Orak, Mehmet Ustundag, and CahferGuloglu. "Mortality16. Yahya, Raafat R., Peter Dirks, Robin Humphreys, James T. Rutka, Michael Taylor, and James M. Drake. "Children and Television Tipovers: A Significant and Preventable Cause of Long-term Neurological Deficits." Journal of Neurosurgery: Pediatrics: 219-22. Print. 17. Division of Birth Defects, National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention 18. Kahlmeier S, Schinder C, Grize L, Braun-Fahrlander C. Perceived environmental housing quality and well being of mothers. J epidemiol Community Health 2001; 55: 708-15. 19. Methews JR, Friman PC, Barone VJ, Rose LV, Christopherson ER. Decreasing dangerous infant behaviors through parent instruction. J Appl Behav Anal 1987; 20: 165-9. 20. Garling, A., & Garling, T. (1993a). Mothers’ supervision and perception of young children’s risk of unintentional injury in the home. Journal of Pediatric Psychology,18, 105–114. 21. Saldana, L., & Peterson, L. (1998). Preventing injury in children: The need for parental involvement. In T. Watson, & F. Gresham (Eds.), Handbook of child behavior therapy: Issues in clinical child psychology (pp. 221–238). New York: Plenum. 22. Schnitzer, P., Dowd, M., Morrongiello, B., & Kruse, R. (2012). Supervision and risk of unintentional injury in young children. Injury Prevention

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