Retrospective analysis of 954 adult patients with head injury: an epidemiological study

Abstract

AMAÇKafa travmaları, özellikle kentlerde ve genç nüfusta en sık görülen morbidite ve mortalite sebeplerinden biridir. Bu retrospektif çalışmayla, kafa travmaları ile ilgili ülkemiz epidemiyolojik veritabanına katkıda bulunmayı amaçladık. GEREÇ VE YÖNTEM BULGULARTrafik kazaları (%75) en sık tespit edilen travma nedeniydi. Giriş Glasgow Koma Skoruna (GKS) göre hastaların %48'inde hafif (GKS 13-15), %31'inde orta (GKS 9-12) ve %21'inde ise ağır (GKS 3-8) kafa travması mevcuttu. Hastaların 177'si (%18,5) ameliyat edildi. Yapılan ameliyatlar en sık subdural hematom ve epidural hematom nedeniyleydi. Serimizde mortalite %19,4 (n=185) olarak bulundu. Bu hastaların travma nedeni incelendiğinde, trafik kazaları yine ilk sırada yer almıştır. SONUÇKafa travmaları ile ilgili epidemiyolojik çalışma ve verilerin artması, travmanın oluşmadan engellenebilmesi açı-sından önem taşır. Serimizde, özellikle erkek hakimiyeti, travma sıklığının en yüksek olduğu yaş grupları, travma ve mortalite sebepleri açısından ülkemizde yapılan diğer ça-lışmalara benzer veriler elde edilmiştir. Ancak, merkez bir hastane olmamız sebebiyle orta ve ağır kafa travmalarının oransal fazlalığı, mortalitemizi de etkilemiştir.

Effectiveness of gfap in determining neuron damage in rats with induced head trauma

“…Many studies have demonstrated that most patients with head trauma (73-93%) are referred to the healthcare facility within the first six hours (20,24,36). Therefore, high GFAP level, which persisted at the second day, was significantly related with the mortality.…”

“…The incidence of intra-cranial pathologies that are diagnosed with CCT ranges between 3% and 6% in patients with minor head trauma (11,13,35,48). The studies demonstrate that minor head trauma accounts for 60-95% of the pediatric population presenting to the emergency department due to head trauma (10,20,21,24). Clinicians order CCT at rate of 5-50%, among all diagnostic imaging scans for subjects with cortex area at 2 hours following TBI.…”

“…CCT is an important device for the diagnosis of patients with head trauma. However, the indications of CCT are still debated with respect to the diagnosis of patients with minor head trauma (10,20,21,24). GCS offers limited results for the evaluation of patients who are sedated and intubated under emergency conditions.…”

“…However, the indications of CCT are still debated with respect to the diagnosis of patients with minor head trauma (10,20,21,24). Due to the high rate of pathological findings with CCT, the studies recommend routine CCT in patients with minor head trauma who have a history of amnesia and loss of consciousness (47).…”

Temporal bone fractures: evaluation of 77 patients and a management algorithm

“…Nowadays, head trauma is a common injury to which all of us are susceptible because of high speed travel. [1] Skull fractures affect 23%-66% of patients with head trauma and approximately 4%-30% of head injuries involve a fracture of the cranial base, including 18%-75% of temporal bone involvement. [2,3] After a severe head injury, the maintenance of life is the most important concern.…”