Kafa yaralanmalarında sonucu belirleyen etkenler
Yıl: 2012 Cilt: 18 Sayı: 2 Sayfa Aralığı: 125 - 132 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022
Kafa yaralanmalarında sonucu belirleyen etkenler
Öz: AMAÇ Bu çalışmada, yetişkin kafa yaralanmalı (KY) olgularda hasta kayıt sistemimizden elde edilebilen verilerin sonuç üzerine etkisi araştırıldı. GEREÇ VE YÖNTEM Trakya Üniversitesi Tıp Fakültesi Beyin ve Sinir Cerrahisi Anabilim Dalı ve Yoğun Bakım Ünitelerine yatırılan 356 KY tanılı yetişkin olgunun (308 erkek, 48 kadın; ort. yaş 43,1±18,6 yıl; dağılım 17-87 yaş) kayıtları incelendi. Elde edilen veriler istatistiksel olarak incelendi. BULGULAR Yaş (p=0,012), havayolu tüplenmesi (p<0,001), olay yeri ve acil birimde saptanan Glasgow koma ölçeği değerleri (p<0,001), kümelenmiş sistolik ve diyastolik triküspid annulus değerleri (p<0,001, eşlik eden göğüs (p=0,001) ve karın (p=0,041) yaralanması, anizokori (p=0,001), gözbebeği ışık refleksi (p<0,001), kafatası içi radyolojik bulgulardan subdural kanama (p<0,001), beyin ezilmesi (p=0,006), travmatik subaraknoid kanama (p<0,001), beyin içi kanama (p=0,005) ve beyin ödemi (p<0,001), cerrahi girişim yapılması (p<0,001) ve hastane enfeksiyonu varlığı (p<0,001) verilerinin sonuç üzerinde anlamlı farklılık oluşturduğu saptandı. SONUÇ Kafa yaralanmalarına bağlı ölümlerin azaltılmasında temel amaç kaza oluşumunun azaltılması olmalı, ayrıca ilk girişim ve hastane bakım şartları yaralanmalı olgular için iyileştirilmelidir.
Anahtar Kelime: Konular:
Effective factors in the outcome of head injury
Öz: BACKGROUND In this study, the data that could be obtained from our patient record system were investigated with respect to factors affecting the outcome in adult patients with head injury. METHODS The records of 356 adult head-injury patients (308 males, 48 females; mean age 43.1±18.6 years; range 17 to 87 years) hospitalized in Trakya University Hospital, Department of Neurosurgery and the Intensive Care Unit were examined. Results of the obtained data were analyzed statistically. RESULTS Age (p=0.012), use of airway tube (p<0.001), Glasgow Coma Scale values determined at the injury site and in the Emergency Unit (p<0.001), clustered systolic and diastolic tricuspid annulus values (p<0.001), accompanying chest (p=0.001) and abdominal (p=0.041) injury, anisocoria (p=0.001), pupillary light response (p<0.001), intracranial radiologic findings such as subdural hematoma (p<0.001), brain contusion (p=0.006), traumatic subarachnoid hemorrhage (p<0.001), traumatic intracranial hemorrhage (p=0.005), and brain edema (p<0.001), performance of a surgical procedure (p<0.001), and presence of nosocomial infection (p<0.001) were demonstrated to cause significant differences in the outcome. CONCLUSION The main aim must be to reduce accidents in an effort to reduce the number of deaths due to head injuries; additionally, emergency and hospital care facilities should be developed with respect to head injury cases.
Anahtar Kelime: Konular:
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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| APA | AKYEL S, ŞİMŞEK O, Süt N (2012). Kafa yaralanmalarında sonucu belirleyen etkenler. , 125 - 132. |
| Chicago | AKYEL Serkan,ŞİMŞEK OSMAN,Süt Necdet Kafa yaralanmalarında sonucu belirleyen etkenler. (2012): 125 - 132. |
| MLA | AKYEL Serkan,ŞİMŞEK OSMAN,Süt Necdet Kafa yaralanmalarında sonucu belirleyen etkenler. , 2012, ss.125 - 132. |
| AMA | AKYEL S,ŞİMŞEK O,Süt N Kafa yaralanmalarında sonucu belirleyen etkenler. . 2012; 125 - 132. |
| Vancouver | AKYEL S,ŞİMŞEK O,Süt N Kafa yaralanmalarında sonucu belirleyen etkenler. . 2012; 125 - 132. |
| IEEE | AKYEL S,ŞİMŞEK O,Süt N "Kafa yaralanmalarında sonucu belirleyen etkenler." , ss.125 - 132, 2012. |
| ISNAD | AKYEL, Serkan vd. "Kafa yaralanmalarında sonucu belirleyen etkenler". (2012), 125-132. |
| APA | AKYEL S, ŞİMŞEK O, Süt N (2012). Kafa yaralanmalarında sonucu belirleyen etkenler. Ulusal Travma ve Acil Cerrahi Dergisi, 18(2), 125 - 132. |
| Chicago | AKYEL Serkan,ŞİMŞEK OSMAN,Süt Necdet Kafa yaralanmalarında sonucu belirleyen etkenler. Ulusal Travma ve Acil Cerrahi Dergisi 18, no.2 (2012): 125 - 132. |
| MLA | AKYEL Serkan,ŞİMŞEK OSMAN,Süt Necdet Kafa yaralanmalarında sonucu belirleyen etkenler. Ulusal Travma ve Acil Cerrahi Dergisi, vol.18, no.2, 2012, ss.125 - 132. |
| AMA | AKYEL S,ŞİMŞEK O,Süt N Kafa yaralanmalarında sonucu belirleyen etkenler. Ulusal Travma ve Acil Cerrahi Dergisi. 2012; 18(2): 125 - 132. |
| Vancouver | AKYEL S,ŞİMŞEK O,Süt N Kafa yaralanmalarında sonucu belirleyen etkenler. Ulusal Travma ve Acil Cerrahi Dergisi. 2012; 18(2): 125 - 132. |
| IEEE | AKYEL S,ŞİMŞEK O,Süt N "Kafa yaralanmalarında sonucu belirleyen etkenler." Ulusal Travma ve Acil Cerrahi Dergisi, 18, ss.125 - 132, 2012. |
| ISNAD | AKYEL, Serkan vd. "Kafa yaralanmalarında sonucu belirleyen etkenler". Ulusal Travma ve Acil Cerrahi Dergisi 18/2 (2012), 125-132. |
