Epidemiologic and clinical features of cases applying to Celal Bayar University emergency unit with head trauma; [Celal Bayar Üniversitesi Tip Fakültesi acil birimine başvuran kafa travmali olgularin epidemiyolojik ve klinik özellikleri]
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Date
2005
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Abstract
BACKGROUND: Head trauma (HT) patients constitute a major part of referrals to emergency unit (EU). We aimed to evaluate cases with HT who applied to our emergency unit retrospectively. METHODS: A hundred and seventy seven HT cases who applied to EU between January 1, 2001-June 30, 2003 were analyzed. Age, gender of the patients, time of intervention, type of trauma, level of consciousness, severity of trauma, concomitant systemic trauma, neuroradiological evaluation, intervention in EU, operation requirement and outcomes were recorded. RESULTS: Patients (men, 73.44% and women 26.55 %) referred because of traffic accidents (32 ± 19 yrs;59.88 %) and other etiologies (21 ± 17 yrs;40.11 %). According to Glasgow coma scale (GCS) 79.1% had minimal or mild (GCS:13-15), 3.95% had moderate (GCS:9-12), and 16.95% had severe HT (GCS:3-8). On craniography fracture was present in 25.99%, on cranial CT lesions were present in 25.99%. Some (18.64%) were discharged after first examination, and 14.12% after short observation. Some (24.29%) were admitted to neurosurgery, 4.52% to intensive care units; 4.52% died in EU; 9.04% underwent neurosurgical operations. CONCLUSION: While traffic accidents constitute the primary cause of adulthood HT, falls lead during childhood. HT is usually of minimal or mild severity. Collaboration of patient transport, first aid and EU are important factors affecting prognosis of HT.
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Accidents, Traffic , Adult , Craniocerebral Trauma , Emergency Service, Hospital , Female , Glasgow Coma Scale , Hospitals, Teaching , Humans , Male , Trauma Severity Indices , Turkey , adolescent , adult , article , child , clinical feature , consciousness , controlled study , death , disease severity , emergency ward , female , Glasgow coma scale , head injury , hospital discharge , human , intensive care unit , male , neurologic examination , neurosurgery , skull fracture , traffic accident , treatment outcome , emergency health service , head injury , injury scale , pathology , statistics , teaching hospital , Turkey (republic) , utilization review