{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T20:13:53Z","timestamp":1789416833915,"version":"build-2803163510"},"reference-count":0,"publisher":"Ovid Technologies (Wolters Kluwer Health)","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Pediatric traumatic brain injury (TBI) is a leading cause of morbidity and mortality, with children being more vulnerable due to thinner skulls, immature autoregulation, and lower seizure thresholds. In India, they account for up to 30% of TBI cases. The outcomes remain variable, especially in the low-resource settings, highlighting the need to understand local epidemiology and management strategies<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>A prospective study of 70 children aged 1\u201314 years admitted with moderate-to-severe TBI at a tertiary neurosurgical center between August 2023 and February 2025. Data on demographics, mechanism of injury, clinical and radiological findings, management, and outcomes (Glasgow Outcome Scale [GOS]) at 3 and 6 months were recorded<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Most patients were 1\u20137 years old (71.4%) and male (58%). Falls from height (42.9%) were the leading cause, followed by road traffic accidents (32.9%) and assault (17.1%). Vomiting (55.7%) and headache (44.3%) were the most common presenting symptoms. Skull fractures (51.4%) and subdural hematomas (37.1%) predominated on computed tomography scans. Conservative management was employed in 64.3%, surgery in 35.7%. GCS improved significantly from admission to discharge (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001). At 6 months, 49 of 70 children achieved GOS 4 or 5, with overall mortality of 14.3%\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Pediatric TBI is a significant health burden, with falls as the leading cause; early intervention and preventive measures, including home and road safety, are essential to improve the outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/aam.aam_668_25","type":"journal-article","created":{"date-parts":[[2026,2,24]],"date-time":"2026-02-24T06:00:10Z","timestamp":1771912810000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Epidemiology, Clinical Profiling, Management, and Functional Outcome in Moderate-to-Severe Traumatic Brain Injury in Children: A Single-center Experience"],"prefix":"10.4103","author":[{"family":"Narayan","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anand","family":"Prakash","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gautam","family":"Dutta","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raul","family":"Mayank","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kaushiki","family":"Raman","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rishabh","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of Hospital Administration, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,2,20]]},"container-title":["Annals of African Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/aam.aam_668_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T16:50:53Z","timestamp":1787763053000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/aam.aam_668_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2,20]]},"references-count":0,"URL":"https:\/\/doi.org\/10.4103\/aam.aam_668_25","relation":{},"ISSN":["1596-3519","0975-5764"],"issn-type":[{"value":"1596-3519","type":"print"},{"value":"0975-5764","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,2,20]]},"assertion":[{"value":"2025-10-24","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-12-16","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}