{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T02:16:10Z","timestamp":1789611370031,"version":"build-2803163510"},"reference-count":63,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2009,8,11]],"date-time":"2009-08-11T00:00:00Z","timestamp":1249948800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Child Neurol"],"published-print":{"date-parts":[[2010,2]]},"abstract":"<jats:p>The objective of this study is to describe and to determine the preclinical situation and early in-clinical situation, diagnostic findings, and factors influencing the outcome of severe head trauma in children. Records of 48 children (0-16 years) were analyzed during a 3-year interval. Correlations with the outcome (Glasgow Outcome Scale) were determined by focusing on different scales, clinical findings, biochemistry, and clinical course features. The initial shock index had a major relevance (P = .0089). Systolic blood pressure (P = .0002) and bradycardia (P = .035) were important factors. Assessing the severity of trauma according to the Glasgow Coma Score, the most accurate parameter for outcome is based on the detailed quality of \u2018\u2018eye opening\u2019\u2019 (P = .0155). Pupillary motoricity at the accident site (P = .002) and emergency room (P = .0004) are strong predictors. Preclinical measurements of stabilization and oxygenation have the same impact as the in-clinical management.<\/jats:p>","DOI":"10.1177\/0883073809332698","type":"journal-article","created":{"date-parts":[[2009,8,12]],"date-time":"2009-08-12T00:34:38Z","timestamp":1250037278000},"page":"146-156","source":"Crossref","is-referenced-by-count":16,"title":["Head Trauma in Children, Part 1: Admission, Diagnostics, and Findings"],"prefix":"10.1177","volume":"25","author":[{"given":"Thomas","family":"Kapapa","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, University of Ulm, Ulm, Germany,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathrin","family":"K\u00f6nig","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Krankenhaus Nordstadt, Hannover, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ulrike","family":"Pfister","sequence":"additional","affiliation":[{"name":"Department of Pediatric Medicine, 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