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255 children died from head injury in the region,the mortality being 5.3 per 100,000 children per year.Head injury was the single most important cause of death in children aged>1 year,accounting for 15%of deaths in children aged 1-15 years and a quarter for those aged 5-15 years.121 potentially avoidable factors possibly or probably contributing to death occurred in 81 children(32%).Half the children(125)died before admission, 27 of whom(22%)had potentially avoidable factors possibly or probably contributing to death,and 130 died after admission,54 of when(42%)had 93 such factors,which included failure of diagnosis or delayed recognition of intracranial haemorrhage or associated injury,inadequate management of the airways,and poor management of the transfer between hospitals. |
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