CC BY 4.0 · Indian Journal of Neurotrauma 2023; 20(02): 133-139
DOI: 10.1055/s-0042-1760448
Original Article

Clinico-Etiological Profile of Children Admitted with Head Injury in a Tertiary Health Care Centre During the COVID Pandemic

1   Department of Neurosurgery, Government Medical College Thiruvananthapuram, Kerala, India
Anil Kumar Peethambaran
1   Department of Neurosurgery, Government Medical College Thiruvananthapuram, Kerala, India
› Author Affiliations
Funding No funds, grants, or other support was received


Background The mechanism of injury, type of pathology, mode of management and specific problems, in the pediatric age group make these a unique population. The COVID-19 pandemic and lockdown caused a significant reduction in the number of road traffic accidents during the same period and the resultant number of head injuries in children.

Methods This was a descriptive study of 76 consecutive pediatric patients admitted with head injury between June and December 2020. Children under 18 years with head injury admitted in our hospital were included.

Results The most common etiology of pediatric head injury was found to be fall from height (61.8%) followed by road traffic accidents (27.6%). The most common age group affected was 1 to 5 years with a mean of 6.3 ± 5 years. Road traffic accidents were commonly seen in the 15 to 18 age group. The Glasgow Outcome Score (GOS) of 1 (death) was seen in one patient (1.3%) and low disability in 98.7% of patients.

Conclusion Falls formed the most important cause of pediatric head injury during this pandemic, and carefulness on the part of parents can help avoid dangerous consequences for the children. Recovery with minimal disability was observed in approximately all cases in this study. The number of severe traumatic brain injury was very low in this study. This can be attributed to the COVID-19 pandemic causing significant reduction in road traffic accidents and the number of severe head injury

Consent to Participate

Informed consent was obtained from all parents of children included in the study. Informed assent was taken from patients between 12 and 18 years as per the WHO requirement.

Consent for Publication

The participants have consented to the submission of data obtained for the study to the journal.

Ethical Approval

Ethical committee approval was obtained prior to starting this study.

Publication History

Article published online:
23 January 2023

© 2023. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (

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