Document Type : original article

Authors

1 Department of Pediatrics, Kerman University of Medical Sciences, Kerman, Iran.

2 Associated Professor Fellowship Of Critical Care Faculty Of Medicine Department Of Anesthesia Kerman University of Medical Sciences Kerman Iran.

10.22038/ijp.2022.59380.4642

Abstract

Abstract:

Introduction: Traumatic brain injury in children is one of the most common causes of death and disability in children. Cardiac arrhythmias, can be cited as one of the main factors influencing the mortality and morbidity of these children's. The purpose of this study was to investigate the frequency and types of cardiac arrhythmias in children with traumatic brain injury in the ICU of Bahonar Hospital in Kerman.

Methods: This study was a cross-sectional descriptive-analytical study in which 240 patients with traumatic brain injury and under the age of 18 who were hospitalized in the ICU of Bahonar Hospital in Kerman 2017-19 and had the criteria to enter the study, were studied. Data collection by check list included demographic specifications and other variables in the patient's file. Finally, the information was analyzed by SPSS software and Chi-square test.

Results: Forty-six of the 240 traumatized patients admitted to the ICU developed cardiac arrhythmias, the most common of which was sinus tachycardia.

The incidence of arrhythmias in patients with SAH, cerebral contusion and ICH was significantly higher than other brain lesions. Most bradycardia was seen in mixed lesions.

Dangerous arrhythmias such as bradycardia and VT were also significantly more common in the severe trauma group.

Conclusion: It seems that in children with head injury, the incidence of cardiac arrhythmias is significantly associated with the GCS and some lesions due to brain trauma such as SAH, ICH, and brain contusion.

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