Table 4 Neurological outcome of children with an initial GCS < 8
Age | Asystole first reported rhythm | Initial GCS | Cardiac output on ED arrival | Outcome | PCPC score | Outcome Comments |
|---|---|---|---|---|---|---|
5.3 | Y | 3 | N | Died ED | 6 | |
1.1 | Y | 3 | N | Died ED | 6 | |
1.5 | Y | 3 | N | Died ED | 6 | |
3.5 | Y | 3 | N | Died ED | 6 | |
2.0 | Y | 3 | N | Died ED | 6 | |
2.5 | Y | 3 | N | Died day 4 | 6 | MRI- multiple areas of infarction involving brain stem, deep nuclei and cortex |
2.8 | Y | 3 | Y | Died day 2 | 6 | Bradycardic on ED arrival, MRI- diffusely swollen brain, transtentorial and foramen magnum herniation, no arterial or venous flow |
6.4 | Y | 3 | Y | Died day 2 | 6 | MRI extensive cerebral and cerebellar oedema with BG and brainstem involvement. Tonsillar herniation. No flow on MRA |
7.7 | Y | 3 | Y | Died day 2 | 6 | CT complete loss grey- white matter differentiation, herniation of cerebellar tonsils |
1.2 | Y | 3 | Y | Died day 9 | 6 | MR bilateral globus pallidus, hippocampal and bilateral cortical areas of ischaemic injury. No purposeful movements, occasional breaths, intensive care withdrawn. |
3.5 | Y | 3 | Y | Died 17 months | 6 | At 3 months - severe spastic quadriplegia with bulbar palsy, incomprehensible sounds. Died at 17 months |
1.3 | Y | 3 | Y | Neurological impairment | 4 | At 6 months - significant dystonia, trunk hypotonia, epilepsy |
1.0 | Y | 3 | Y | Normal | 1 | CT - early cerebral oedema, MRI no diffusion restriction. Early seizures on PICU. At 18 months -normal neurological and developmental exam |
1.7 | N | 3 | Y | Neurological impairment | 3 | Pre accident diagnosed Aspergers and ADHD. At 1 month – right sided weakness, loss of language. At 3 ½ years - distractible, special help at school |
2.2 | N | 5 | Y | Normal | 1 | At 12 months -ahead in development |
2.8 | N | 5 | Y | Normal | 1 | At 11 months -Normal function |
1.2 | N | 5 | Y | Normal | 1 | Tonic clonic seizures in PICU. At 1 yr 5 months development normal. |
2.1 | N | 6 | Y | Normal | 1 | No neurological deficit at discharge |
3.9 | N | 6 | Y | Normal | 1 | At 7 months normal behavior and skills |
9.9 | N | 6 | Y | Baseline* | *Had seizure disorder, autism, ADHD, moderate –severe disability before accident. Returned to baseline state. | |
1.3 | N | 7 | Y | Neurological impairment | 3 | At 2 yrs - behaviour problems, aggression, repetitive movements/routines |
1.9 | N | 7 | Y | Normal | 1 | No neurological deficit at discharge |