Yıl: 2019 Cilt: 26 Sayı: 10 Sayfa Aralığı: 2405 - 2409 Metin Dili: İngilizce DOI: 10.5455/annalsmedres.2019.08.499 İndeks Tarihi: 22-09-2020

Epidemiological investigation of 673 patients who resorted to the emergency department for mild head trauma complaints

Öz:
Aim: Mild head trauma (MHT) or mild traumatic brain injury (MTBI) is an injury whose incidence is increasing in emergency services.This retrospective study carried out an epidemiological evaluation of patients with MHT, who underwent head computed tomography(HCT) with a 15-point score on the Glasgow Coma Scale (GCS).Material and Methods: This study retrospectively evaluated 673 patients with MHT, who were examined by the department ofneurosurgery in the emergency department of Istinye University, Canakkale Anatolian Hospital between 2015 and 2019. The caseswere evaluated because of age, gender, cause of trauma, HCT findings, duration of admission to the emergency department, andother body traumas associated with head trauma.Results:390 (57.95%) patients were male, while 283 (42.05%) were female. The mean age and standard deviation were calculatedas 23.72 ± 24.87 years. Of the 673 cases, 494 (73.40%) were admitted to the emergency department due to non-high falls. Aftertrauma, 642 (95.39%) patients were admitted to the emergency department within the admitted to the emergency department withinthe first two hours after injury. 656 (97.48%) of the patients were treated in the emergency department. 105 (15.60%) patients hada scalp incision and underwent a small surgical procedure. The most common accompanying body trauma detected was that ofthe maxillofacial region in 26 (3.86%) patients. HCT pathology was detected in 20 (2.97%) patients. These pathologies included; 14(2.08%) non-surgical intracerebral hemorrhage, 2 (0.30%) skull base fractures, 1 (0.15%) traumatic subdural hematoma, 1 (0.15%)traumatic epidural hematoma, 1 (0.15%) pneumocephalus and 1 (0.15%) cerebral edema.Conclusion: Head trauma is an important issue in this country. Brain CT may not be necessary in patients with a GCS score of 15.After a short observation, if patients live near the medical center, they can be sent home to return the next day for further evaluation.
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  • 1. Cancelliere C, Cassidy JD, Côté P, et al. Protocol for a systematic review of prognosis after mild traumatic brain injury: an update of the WHO Collaborating Centre Task Force findings. Syst Rev 2012;1:17.
  • 2. Cassidy JD, Carroll LJ, Peloso PM, et al. Incidence, risk factors and prevention of mild traumatic brain injury: results of the WHO Collaborating Centre Task Force on Mild Traumatic Brain Injury. J Rehabil Med 2004;43:28-60.
  • 3. Maas AIR, Menon DK, Adelson PD, et al. Traumatic brain injury: integrated approaches to improve prevention, clinical care, and research. Lancet Neurol 2017;16:987-1048.
  • 4. Feigin VL, Theadom A, Barker-Collo S, et al. Incidence of traumatic brain injury in New Zealand: a populationbased study. Lancet Neurol 2013;12:53-64.
  • 5. Albers CE, von Allmen M, Evangelopoulos DS, et al. What is the incidence of intracranial bleeding in patients with mild traumatic brain injury? A retrospective study in 3088 Canadian CT head rule patients. Biomed Res Int 2013;2013:453978.
  • 6. Mishra RK, Munivenkatappa A, Prathyusha V, et al. Clinical predictors of abnormal head computed tomography scan in patients who are conscious after head injury. J Neurosci Rural Pract 2017;8:64-67.
  • 7. Kerr ZY, Harmon KJ, Marshall SW, et al. The epidemiology of traumatic brain injuries treated in emergency departments in North Carolina, 2010- 2011. N C Med J 2014;75:8-14.
  • 8. Champion HR, Copes WS, Sacco WJ, et al. The major trauma outcome study: establishing national norms for trauma care. J Trauma 1990;30:1356-65.
  • 9. Adeleye AO, Clark DJ, Malomo TA. Trauma demography and clinical epidemiology of motorcycle crash-related head injury in a neurosurgery practice in an African developing country. Traffic Inj Prev 2019;20:211-15.
  • 10. Bordignon KC, Arruda WO. CT scan findings in mild head trauma: a series of 2,000 patients. Arq Neuropsiquiatr 2002;60:204-10.
  • 11. Dalbayrak S, Gumustas S, Bal A, et al. Early and delayed CT findings in patients with mild-to-moderate head trauma. Turk Neurosurg 2011;21:591-8.
  • 12. Schaller B, Evangelopoulos DS, Müller C, et al. Do we really need 24-h observation for patients with minimal brain injury and small intracranial bleeding? the Bernese Trauma Unit protocol. Emerg Med J 2010;27:537-9.
  • 13. Stein SC, Ross SE. Mild head injury: a plea for routine early CT scanning. J Trauma 1992;33:11-3.
  • 14. Stein SC, Ross SE. The value of computed tomographic scans in patients with low-risk head injuries. Neurosurgery 1990;26:638-40.
  • 15. Kauffman JD, Litz CN, Thiel SA, et al. To scan or not to scan: overutilization of computed tomography for minor head injury at a pediatric trauma center. J Surg Res 2018;232:164-70.
  • 16. Calcagnile O, Anell A, Undén J. The addition of S100B to guidelines for management of mild head injury is potentially cost saving. BMC Neurol 2016;16:200.
  • 17. Cancelliere C, Coronado VG, Taylor CA, et al. Epidemiology of isolated versus nonisolated mild traumatic brain injury treated in emergency departments in the United States, 2006-2012: sociodemographic characteristics. J Head Trauma Rehabil 2017;32:37-46.
  • 18. Haydel MJ, Preston CA, Mills TJ, et al. Indications for computed tomography in patients with minor head injury. N Engl J Med 2000;343:100-5.
  • 19. Zargar Balaye Jame S, Majdzadeh R, Akbari Sari A, et al. Indications and overuse of computed tomography in minor head trauma. Iran Red Crescent Med J 2014;16:13067.
APA ÖZGER Ö, KAPLAN N, KARAASLAN N (2019). Epidemiological investigation of 673 patients who resorted to the emergency department for mild head trauma complaints. , 2405 - 2409. 10.5455/annalsmedres.2019.08.499
Chicago ÖZGER ÖZKAN,KAPLAN Necati,KARAASLAN Numan Epidemiological investigation of 673 patients who resorted to the emergency department for mild head trauma complaints. (2019): 2405 - 2409. 10.5455/annalsmedres.2019.08.499
MLA ÖZGER ÖZKAN,KAPLAN Necati,KARAASLAN Numan Epidemiological investigation of 673 patients who resorted to the emergency department for mild head trauma complaints. , 2019, ss.2405 - 2409. 10.5455/annalsmedres.2019.08.499
AMA ÖZGER Ö,KAPLAN N,KARAASLAN N Epidemiological investigation of 673 patients who resorted to the emergency department for mild head trauma complaints. . 2019; 2405 - 2409. 10.5455/annalsmedres.2019.08.499
Vancouver ÖZGER Ö,KAPLAN N,KARAASLAN N Epidemiological investigation of 673 patients who resorted to the emergency department for mild head trauma complaints. . 2019; 2405 - 2409. 10.5455/annalsmedres.2019.08.499
IEEE ÖZGER Ö,KAPLAN N,KARAASLAN N "Epidemiological investigation of 673 patients who resorted to the emergency department for mild head trauma complaints." , ss.2405 - 2409, 2019. 10.5455/annalsmedres.2019.08.499
ISNAD ÖZGER, ÖZKAN vd. "Epidemiological investigation of 673 patients who resorted to the emergency department for mild head trauma complaints". (2019), 2405-2409. https://doi.org/10.5455/annalsmedres.2019.08.499
APA ÖZGER Ö, KAPLAN N, KARAASLAN N (2019). Epidemiological investigation of 673 patients who resorted to the emergency department for mild head trauma complaints. Annals of Medical Research, 26(10), 2405 - 2409. 10.5455/annalsmedres.2019.08.499
Chicago ÖZGER ÖZKAN,KAPLAN Necati,KARAASLAN Numan Epidemiological investigation of 673 patients who resorted to the emergency department for mild head trauma complaints. Annals of Medical Research 26, no.10 (2019): 2405 - 2409. 10.5455/annalsmedres.2019.08.499
MLA ÖZGER ÖZKAN,KAPLAN Necati,KARAASLAN Numan Epidemiological investigation of 673 patients who resorted to the emergency department for mild head trauma complaints. Annals of Medical Research, vol.26, no.10, 2019, ss.2405 - 2409. 10.5455/annalsmedres.2019.08.499
AMA ÖZGER Ö,KAPLAN N,KARAASLAN N Epidemiological investigation of 673 patients who resorted to the emergency department for mild head trauma complaints. Annals of Medical Research. 2019; 26(10): 2405 - 2409. 10.5455/annalsmedres.2019.08.499
Vancouver ÖZGER Ö,KAPLAN N,KARAASLAN N Epidemiological investigation of 673 patients who resorted to the emergency department for mild head trauma complaints. Annals of Medical Research. 2019; 26(10): 2405 - 2409. 10.5455/annalsmedres.2019.08.499
IEEE ÖZGER Ö,KAPLAN N,KARAASLAN N "Epidemiological investigation of 673 patients who resorted to the emergency department for mild head trauma complaints." Annals of Medical Research, 26, ss.2405 - 2409, 2019. 10.5455/annalsmedres.2019.08.499
ISNAD ÖZGER, ÖZKAN vd. "Epidemiological investigation of 673 patients who resorted to the emergency department for mild head trauma complaints". Annals of Medical Research 26/10 (2019), 2405-2409. https://doi.org/10.5455/annalsmedres.2019.08.499