What does this research mean for the field?

Lower admission Glasgow Coma Scale (GCS) is strongly associated with increased in-hospital mortality in pediatric head injury patients in central India, where falls from height are the leading mechanism of injury. Novelty: ClaimNovelty.CONFIRMATORY. Consensus alignment: ConsensusAlignment.SUPPORTS_CONSENSUS.

What question did this study set out to answer?

To describe the clinical profile, management patterns, and outcomes of pediatric head trauma and evaluate the association between admission Glasgow Coma Scale (GCS) and in-hospital mortality.

August 22, 2026CureusOpen Access

Clinical Profile and Association Between Admission Glasgow Coma Scale and In-Hospital Mortality Among Children With Head Injury at a Tertiary Care Centre in Central India

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Authors

SJSaket Jha SJSamriddhi Jain ATAbhilash Tiwari

Discussion

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Implication

Retrospective observational study reveals lower admission Glasgow Coma Scale strongly associates with in-hospital mortality in pediatric head injury, highlighting the value of early triage.

Key Points

To describe the clinical profile, management patterns, and outcomes of pediatric head trauma and evaluate the association between admission Glasgow Coma Scale (GCS) and in-hospital mortality.
Retrospective observational study evaluating N=81 children admitted with head injury to Gandhi Medical College, Bhopal, India, between January 2026 and June 2026.
Extracted demographics, injury mechanism, admission GCS, non-contrast computed tomography (NCCT) head findings, management type, and survival outcomes from hospital case records.
Assessed associations between GCS severity categories and in-hospital mortality using Fisher's exact test, chi-square test, and the Mann-Whitney U test (significance set at p < 0.05).
Falls from height accounted for 54.3% (44/81) of injuries, 75.3% (61/81) presented with mild GCS (13–15), 9.9% (8/81) had severe GCS (≤8), and 97.5% (79/81) were treated conservatively.
Overall in-hospital mortality was 11.1% (9/81); mild GCS was associated with significantly lower odds of mortality compared to moderate-to-severe injury (OR 0.03, 95% CI 0.003–0.22, p = 0.00003), with deaths occurring in 87.5% (7/8) of severe cases versus 1.6% (1/61) of mild cases.
Mean admission GCS was significantly lower among non-survivors than survivors (6.1 vs. 14.0; Mann-Whitney U = 23.0; p = 0.00000024).

Cite This Study

Jha et al. (2026) studied this question.

synapsesocial.com/papers/6a895f53ca7ade938187de5b https://doi.org/10.7759/cureus.114780

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Implication

Retrospective observational study reveals lower admission Glasgow Coma Scale strongly associates with in-hospital mortality in pediatric head injury, highlighting the value of early triage.

Clinical Profile and Association Between Admission Glasgow Coma Scale and In-Hospital Mortality Among Children With Head Injury at a Tertiary Care Centre in Central India

Discussion

Member takes

Implication

Key Points

Cite This Study

Clinical Profile and Association Between Admission Glasgow Coma Scale and In-Hospital Mortality Among Children With Head Injury at a Tertiary Care Centre in Central India

Discussion

Member takes

Implication

Key Points

Cite This Study

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