Abstract

Background: Traumatic brain injury is a disease that causes major mortality and morbidity in children. Objective: This study aimed to analyse and assess neurosurgical outcomes related to children with traumatic brain injuries. Patients and methods: This study recruited 60 children with traumatic brain injuries, ages 2-14 years. This study collected clinical data for pediatric patients from different hospitals in Iraq, during the period from March 5, 2022, to April 16, 2023. We identified and distributed the CT findings for the type of hemorrhage as well as CT findings showing the severity of the injury. Moreover, our study also recorded data and surgical outcomes of children with TBI who were transferred to the neurosurgical unit, where all of the examinations included blood pressure (systolic and diastolic), heart rate, as well as complication rate, operating time, surgical procedure, blood transfusion, pain rates, and patient’s quality of life. After the surgery. Results: Our results were enrolled clinical outcomes of surgical treatments for patients with brain injuries, which consists of males was most prevelance with 75% than females with 25%, mechanism of injury included road traffic accident had 30%, falls had 50%, blunt object had 15%, the most type of injuries brains at children were hematomas with 16 patients, concussions with 14 patients, skull fractures with 12 patients,  CT scan findings of TBI severity included mild was 50% of patients, moderate was 30% of patients, severe was 20% of patients. According to craniotomy and decompressive craniectomy findings, operation time of surgery more than 3 hours was 36 patients, blood loss was 181.51 ± 119.84 mL, blood transfusion had five patients, systolic blood pressure was 94.63 ± 16.57, diastolic blood pressure was 53.74 ± 4.1, heart rate was 80.82 ± 9.21, hypotension on PICU admission was four patients, hyperglycemia on admission was three patients, length of stay in hospital was 13.67 ±2.25 days, admission PICU stay. Accoording to QOL scores, quality of life, included physical aspect, was 72.01 ± 3.45, psychological aspect was 76.58 ± 4.63, social and emotional aspects were 80.24 ± 2.46, and daily activities was 71.15 ± 5.68. Conclusion: This study showed that neurosurgical interventions represent a safe, high-quality, and effective treatment in treating pediatric patients, which contributes positively to a decrease in mortality and morbidity rates