The changing pattern of head injury in Thailand

Phuenpathom, Nakornchai; Tiensuwan, Montip; Ratanalert, Sanguansin; Saeheng, Sakchai; Sripairojkul, B

doi:10.1054/jocn.1999.0203

Cited by 15 publications

(12 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The most common cause of traffic injury in Thailand is motorcycle crashes. 12 24 Our study also found that motorcycle crashes were the leading cause of injury (62.2%), and a history of alcohol use may be responsible for these injuries; as 78.9% of these patients declared that they had been drinking alcohol before involvement in a motorcycle accident. Alcohol consumption may increase seizure threshold by acting on gamma-aminobutyric acid receptors, while cessation of drinking may lower seizure threshold with upregulation of N-methyl-D-aspartate receptor.…”

Section: Discussionsupporting

confidence: 59%

“…6 7 9 11 In Thailand, a few studies have reported the epidemiology of TBI, but none of them have studied the incidences and predictors for early PTS in adults. 12 Since there is a lack of robust evidence, our study aimed to investigate the incidence and determine prognostic factors for early PTS. In addition, the nomogram for early PTS prediction was developed.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Predictive Risk Factors for Early Seizures in Traumatic Brain Injury

Parmontree

Tunthanathip

Doungngern

et al. 2019

Journal of Neurosciences in Rural Practice

Self Cite

View full text Add to dashboard Cite

Background Early posttraumatic seizure (PTS) is a significant cause of unfavorable outcomes in traumatic brain injury (TBI). This study was aimed to investigate the incidence and determine a predictive model for early PTS. Materials and Methods A prospective cohort study of 484 TBI patients was conducted. All patients were evaluated for seizure activities within 7 days after the injury. Risk factors for early PTS were identified using univariate analysis. The candidate risk factors with p < 0.1 were selected into multivariable logistic regression analysis to identify predictors of early PTS. The fitting model and the power of discrimination with the area under the receiver operating characteristic (AUROC) curve were demonstrated. The nomogram for prediction of early PTS was developed for individuals. Results There were 27 patients (5.6%) with early PTS in this study. The final model illustrated chronic alcohol use (odds ratio [OR]: 4.06, 95% confidence interval [CI]: 1.64–10.07), epidural hematoma (OR: 3.98, 95% CI: 1.70–9.33), and Glasgow Coma Scale score 3–8 (OR: 3.78, 95% CI: 1.53–9.35) as predictors of early PTS. The AUROC curve was 0.77 (95% CI: 0.66–0.87). Conclusions The significant predictors for early PTS were chronic alcohol use, epidural hematoma, and severe TBI. Our nomogram was considered as a reliable source for prediction.

show abstract

Section: Discussionsupporting

confidence: 59%

Section: Introductionmentioning

confidence: 99%

Predictive Risk Factors for Early Seizures in Traumatic Brain Injury

Parmontree

Tunthanathip

Doungngern

et al. 2019

Journal of Neurosciences in Rural Practice

Self Cite

View full text Add to dashboard Cite

show abstract

“…More than two-thirds (69.6%–71.9%) of injuries related with motorcycle. [ 4 ] Our study was aimed to identify mechanisms of injury, especially road traffic injury and severity of TBI in children.…”

Section: Introductionmentioning

confidence: 99%

Impact of Road Traffic Injury to Pediatric Traumatic Brain Injury in Southern Thailand

Tunthanathip

Phuenpathom

2017

Journal of Neurosciences in Rural Practice

Self Cite

View full text Add to dashboard Cite

Background:Motor vehicle is a major transportation in Southern Thailand as the result of road traffic injury and death. Consequently, severe disability and mortality in pediatric traumatic brain injury (TBI) were observed from traffic accident, particularly motorcycle accident. To identify the risk of intracranial injury in children, the association of treatment outcome with various factors including mechanisms of injury, clinical characteristics, and intracranial pathology can be assessed.Materials and Methods:This was a retrospective study conducted on children, who were younger than 15 years old with TBI and were enrolled from 2004 to 2015. Several clinically relevant issues were reviewed and statistically analyzed.Results:A total of 948 casualties were enrolled. Compared with falling down, the motorcycle accident was significantly associated with intracranial injury (odds ratio 1.73, 95% confidence interval [CI] 1.08–2.76). Other factors associated with intracranial injury were hemiparesis (odds ratio 5.69, 95% CI 1.44–22.36), positive of basal skull fracture signs (odds ratio 15.66, 95% CI 3.44-71.28), and fixed reaction to light of both pupils (odds ratio 5.74, 95% CI 1.71–19.23). Mortality found in thirty cases (3.2%). Furthermore, the risk of death correlated with motorcycle accident (P = 0.02) and severe head injury (P < 0.001). Neurosurgical intervention was not associated with outcome, but severe head injury, hemorrhagic shock, epidural, and subdural hematoma were impact factors.Conclusion:The findings demonstrate road traffic injury, especially motorcycle accident leading to brain injury and death. Prevention program is a necessary key to decrease mortality and disability in pediatric TBI.

show abstract

“…Previous studies have reported that 15.8%–29% of trauma patients in the emergency department (ED) had head injuries and the most common intracranial injury was subdural hematoma. [ 1 2 3 ]…”

Section: Introductionmentioning

confidence: 99%

The optimal operative timing of traumatic intracranial acute subdural hematoma correlated with outcome

2018

Self Cite

View full text Add to dashboard Cite

Objective:Acute subdural hematoma (ASDH) has been associated with mortality in traumatic brain injury. The timing of surgical evacuation for ASDH has still been controversial. The object of this study was to determine the temporal and clinical factors associated with outcome following surgery for ASDH.Materials and Methods:The study retrospectively viewed medical records and neuroimaging studies of ASDH patients who underwent surgical evacuation. Surgical outcomes were dichotomized into favorable and unfavorable outcomes, and operative times compared between the groups.Results:The records of 145 ASDH patients who underwent surgery were reviewed. Almost two-thirds of the patients were admitted for surgical evacuation, of whom 71% underwent a decompressive operation. The temporal variables were as follows: mean time from scene of accident to emergency department (ED) was 70 (Standard deviation [SD] 256.0) min, mean time from ED to obtaining CT of the brain was 45.6 (SD 38.9) min, mean time from brain computed tomographic to operating room arrival was 68.6 (SD 50.0) min, and mean time from ED arrival to skin incision was 160.1 (SD 88.1) min. The mean time from ED arrival to skin incision was significantly shorter in the unfavorable outcome group. Because of this reverse association between time from ED to surgery, multivariate analysis was applied to adjust the timing factors with other clinical factors, and the results indicated that temporal factors were not associated with functional outcome, as features such as increased intracranial pressure due to obliterated basal cistern and brain herniation were significantly associated with functional outcome.Conclusions:The optimal times for surgical evacuation of ASDH are challenging to estimate because compressed brainstem signs are more important than time factors. ASDH patients with compressed brainstem should have surgery as soon as possible.

show abstract

The changing pattern of head injury in Thailand

Cited by 15 publications

References 18 publications

Predictive Risk Factors for Early Seizures in Traumatic Brain Injury

Predictive Risk Factors for Early Seizures in Traumatic Brain Injury

Impact of Road Traffic Injury to Pediatric Traumatic Brain Injury in Southern Thailand

The optimal operative timing of traumatic intracranial acute subdural hematoma correlated with outcome

Contact Info

Product

Resources

About