{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T15:03:43Z","timestamp":1777907023393,"version":"3.51.4"},"reference-count":12,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2013,1,1]],"date-time":"2013-01-01T00:00:00Z","timestamp":1356998400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Trop Doct"],"published-print":{"date-parts":[[2013,1]]},"abstract":"<jats:sec>\n                    <jats:title>Summary<\/jats:title>\n                    <jats:p>We investigated the causes, management and outcome of head injuries in paediatric patients admitted to the paediatric surgery unit at King Edward VIII Hospital overa 3-year period, from 1999 to 2001. There were 506 patients (331 male; M:F ratio 2:1) and the mean age was 71.99 +36.8 months (2 weeks to 180 months). The injuries were due to: motor vehicle crashes (324); falls (121); assault (30); inadvertent injury (23); and unknown (11). Forty-nine patients (9%) were admitted with a Glasgow Coma Scale \u22648. The most common intracranial pathology on computed tomography was: intracranial haematoma\/haemorrhage (44); contusion (16); and brain oedema (10). Nineteen patients (3.4%) underwent neurosurgical intervention and the rest were managed conservatively. Eighteen died in hospital (3.6%). The mean hospital stay was 5 \u00b1 12 days. Twenty-three patients (4.5%) were discharged with neurological sequelae. Few paediatric patients are admitted with severe head injury: the majority from blunt injury caused by motor vehicle crashes. Management mainly requires simple neurological observation in a general ward with a surprisingly good prognosis. Specific protocols for paediatric head injuries have been proposed based on these findings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0049475513480490","type":"journal-article","created":{"date-parts":[[2013,4,15]],"date-time":"2013-04-15T19:44:17Z","timestamp":1366055057000},"page":"1-4","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":12,"title":["Paediatric head injuries in the Kwazulu-Natal Province of South Africa: a developing country perspective"],"prefix":"10.1177","volume":"43","author":[{"given":"Ebenezer K","family":"Okyere-Dede","sequence":"first","affiliation":[{"name":"Departments of Surgery; University of KwaZulu-Natal and King Edward VIII Hospital, Durban"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Munyaradzi C","family":"Nkalakata","sequence":"additional","affiliation":[{"name":"Departments of Surgery; University of KwaZulu-Natal and King Edward VIII Hospital, Durban"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tshepo","family":"Nkomo","sequence":"additional","affiliation":[{"name":"Departments of Surgery; University of KwaZulu-Natal and King Edward VIII Hospital, Durban"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G P","family":"Hadley","sequence":"additional","affiliation":[{"name":"Paediatric Surgery, University of KwaZulu-Natal and King Edward VIII Hospital, Durban"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thandinkosi E","family":"Madiba","sequence":"additional","affiliation":[{"name":"Departments of Surgery; University of KwaZulu-Natal and King Edward VIII Hospital, Durban"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2013,4,2]]},"reference":[{"key":"bibr1-0049475513480490","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2007.01.002"},{"key":"bibr2-0049475513480490","first-page":"1172","volume":"85","author":"Muckart DJJ","year":"1995","journal-title":"S Afr Med J"},{"key":"bibr3-0049475513480490","doi-asserted-by":"publisher","DOI":"10.1159\/000095572"},{"key":"bibr4-0049475513480490","doi-asserted-by":"publisher","DOI":"10.1016\/j.clineuro.2010.06.008"},{"key":"bibr5-0049475513480490","doi-asserted-by":"publisher","DOI":"10.1007\/s00381-005-1141-5"},{"key":"bibr6-0049475513480490","doi-asserted-by":"publisher","DOI":"10.1542\/peds.101.4.575"},{"key":"bibr7-0049475513480490","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2006-1186"},{"key":"bibr8-0049475513480490","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-199907000-00008"},{"key":"bibr9-0049475513480490","doi-asserted-by":"publisher","DOI":"10.1097\/00003246-199801000-00030"},{"key":"bibr10-0049475513480490","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-199412000-00016"},{"key":"bibr11-0049475513480490","doi-asserted-by":"publisher","DOI":"10.1080\/02699050310001646189"},{"key":"bibr12-0049475513480490","doi-asserted-by":"publisher","DOI":"10.1037\/0894-4105.16.1.15"}],"container-title":["Tropical Doctor"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0049475513480490","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0049475513480490","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0049475513480490","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T13:28:26Z","timestamp":1777642106000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0049475513480490"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,1]]},"references-count":12,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2013,1]]}},"alternative-id":["10.1177\/0049475513480490"],"URL":"https:\/\/doi.org\/10.1177\/0049475513480490","relation":{},"ISSN":["0049-4755","1758-1133"],"issn-type":[{"value":"0049-4755","type":"print"},{"value":"1758-1133","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,1]]}}}