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R. De, L. A. These, and . Français, METHODES : Tous les patients de moins de 3 ans, admis en réanimation pédiatrique au CHU de Caen entre 2009 et 2019 pour diagnostic « certain » ou « probable » de syndrome du bébé secoué font l'objet d'une analyse descriptive, rétrospective et monocentrique. RESULTATS : Quarante-sept patients de 5 mois (3,5 -6,5) ont été admis. Trente-sept (79%) bénéficient d'une ventilation mécanique, 7 (15%) d'un soutien hémodynamique, 21 (45%) d'une osmothérapie, OBJECTIFS : Décrire la prise en charge des nourrissons victimes de secouement et identifier les facteurs pronostiques de survenue de séquelles ou de décès

. Cinq, 11%) sont décédés. A la sortie d'hospitalisation, 17 (36%) ont des séquelles neurologiques et 9

, Ces enfants ont plus souvent recours à une ventilation mécanique de plus de 24 heures (p=0,001), un soutien hémodynamique (p< 0.05), une osmothérapie (p<0.05) et à deux antiépileptiques pour un état de mal convulsif

, des épisodes d'apnée (p<0,01), des vélocités anormales au doppler transcrânien (p=0,01), des lésions axonales à l'IRM (p<0,01) ainsi qu'une souffrance cérébrale à l'électroencéphalogramme (p<0,01) sont les principaux facteurs de risques retrouvés. CONCLUSION : L'examen clinique et paraclinique des nourrissons victimes de secouement apportent des éléments pronostics sur le devenir immédiat de ces patients

M. ,

T. De, L. A. These, and . Anglais, INFANTS VICTIMS OF SHAKEN BABY SYNDROM ADMITTED IN PEDIATRIC INTENSIVE CARE UNIT AT CAEN UNIVERSITY HOSPITAL FROM, 2009.

R. De, L. A. These, and . Anglais, OBJECTIVES: Describe the management of infants who are victims of shaking and identify prognostic factors for sequelae or death. METHODS: All patients under the age of 3 years admitted in pediatric intensive care unit at Caen University hospital for definite or probable shaken baby syndrom diagnosis are subject to descriptive retrospective and monocentric analysis. RESULTS: Forty-seven 5 months-old patients (3,5 -6,5) were admitted. Thirty-seven (79%) benefit from mechanical ventilation, seven (15%) have hemodynamic support, vol.21

, At the end of hospitalization, seventeen (36%) have neurological sequelae and nine (19%) visual impairments. These children are more likely to use mechanical ventilation for more than 24 hours (p=0,001), hemodynamic support (p<0,05), osmotherapy and two anti epileptic therapies for a convulsive state

, apnea episodes (p<0,01), abnormal cerebral velocity on transcranial doppler (p=0,01), axonal lesions on MRI (p<0,01) as well as electroencephalogram brain pain (p<0,01) are the main risk factors found. CONCLUSION: Clinical and paraclinical examination of shaken infants give prognosis of the immediate future of these patients. The knowledge of these risk factors can guide the management of these most serious patients

. Key-words, SHAKING BABY SYNDROM -INFLICTED TRAUMATIC BRAIN INJURY -SUBDURAL HEMATOMA -INTRACRANIAL HYPERTENSION -RETINAL HEMORRHAGE -CHILD ABUSE -PEDIATRIC INTENSIVE CARE