Akut kafa travmalı hastaların geriye dönük analizi
Küçük Resim Yok
Tarih
2021
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Maltepe Üniversitesi
Erişim Hakkı
Attribution-NonCommercial-NoDerivs 3.0 United States
info:eu-repo/semantics/openAccess
info:eu-repo/semantics/openAccess
Özet
Amaç: Kafa travmaları acil servise sıklıkla başvuru nedenlerinden birisidir. Bu çalışmada amacımız akut kafa travması ile acil servise başvuran hastalarda erken tanı ve tedavinin önemini araştırmaktır. Materyal ve Metodlar: Geriye dönük olarak dosya kayıtlarından acil servise izole akut kafa travması ile başvuran hastaları kapsamaktadır. Tüm akut kafa travmalı olgular Glasgow Koma Skalası Skoru’na(GCS) göre hafif (GCS 14–15), orta (GCS 9–13) ve ağır (GCS 3–8) kafa travması olarak 3 gruba ayrıldı. Olguların vital bulguları, yaşı, cinsiyeti, travmanın oluş şekli, beyin tomografi bulguları, yatırıldığı servis, tedavi şekli, hastanede kalma süresi ve son durumları hasta kayıt formlarına kaydedildi. Hastalardan elde edilen veriler SPSS 22.0 (Statistical Package for Social Science) bilgisayar programına yüklendi. Veriler her üç grup için karşılaştırıldı. Bulgular: Acil servise başvuran 1846 travma hastası incelenmiş ve bunların 269’unu (%15) izole akut kafa travmalı hastalar oluşturduğu görülmüştür. Kafa travmalı olguların 199’u (%74) erkek, 70’i (%26) kadın olup erkek/ kadın oranı 2.8 olup olguların yaş ortalaması 29 du. Akut kafa travmaları 1–10 yaş arasındaki çocuklarda daha sık idi. Akut kafa travmasına en sık trafik kazalarının neden olduğu saptandı. Olgularımızın çoğunu (%48, 3) minor kafa travması oluşturmaktaydı. Sonuç: Kafa travmaları erkek cinsiyette kadın cinsiyete göre daha fazla görülmekte olup çoğunluğunu minör kafa travmaları oluşturmaktadır. GCS 15’ in altında olan tüm olgulara Bilgisayarlı beyin tomografisi (BBT) çekilmelidir. Tüm acil başvurular arasında, akut kafa travmasının önemini bildiren çalışmamız bundan sonraki çalışmalar için referans olabilir
Aim: Head trauma is one of the reasons for frequent admission to the emergency department. In this study, our aim is to investigate the importance of early diagnosis and treatment in patients admitted to the emergency department with acute head injury. Material and Methods: Material and Methods: It covers patients who applied to the emergency department with isolated acute head trauma retrospectively from file records. All acute head trauma cases were divided into 3 groups according to Glasgow Coma Scale Score (GCS) as mild (GCS 14–15), moderate (GCS 9–13), and severe (GCS 3–8) head trauma. Vital signs, age, gender, type of trauma, brain tomography findings, hospitalization service, treatment type, duration of hospitalization and final status of the patients were recorded in patient registration forms. The data obtained from the patients were uploaded to the SPSS 22.0 (Statistical Package for Social Science) computer program. Data were compared for all three groups. Results: 1846 trauma patients admitted to the emergency department were examined and 269 (15%) of them were found to be isolated acute head trauma patients. 199 (74%) of the head trauma cases were male, 70 (26%) were female and the male / female ratio was 2.8 and the average age of the cases was 29. Acute head injuries were more common in children aged 1–10 years. It was determined that the most common cause of acute head trauma was traffic accidents. Most of our cases (48.3%) were minor head trauma. Conclusion: Head traumas are more common in males than females, mostly minor head traumas. Computerized brain tomography (BBT) should be performed in all cases with GCS below 15. Among all emergency admissions, our study reporting the importance of acute head trauma can be a reference for future studies.
Aim: Head trauma is one of the reasons for frequent admission to the emergency department. In this study, our aim is to investigate the importance of early diagnosis and treatment in patients admitted to the emergency department with acute head injury. Material and Methods: Material and Methods: It covers patients who applied to the emergency department with isolated acute head trauma retrospectively from file records. All acute head trauma cases were divided into 3 groups according to Glasgow Coma Scale Score (GCS) as mild (GCS 14–15), moderate (GCS 9–13), and severe (GCS 3–8) head trauma. Vital signs, age, gender, type of trauma, brain tomography findings, hospitalization service, treatment type, duration of hospitalization and final status of the patients were recorded in patient registration forms. The data obtained from the patients were uploaded to the SPSS 22.0 (Statistical Package for Social Science) computer program. Data were compared for all three groups. Results: 1846 trauma patients admitted to the emergency department were examined and 269 (15%) of them were found to be isolated acute head trauma patients. 199 (74%) of the head trauma cases were male, 70 (26%) were female and the male / female ratio was 2.8 and the average age of the cases was 29. Acute head injuries were more common in children aged 1–10 years. It was determined that the most common cause of acute head trauma was traffic accidents. Most of our cases (48.3%) were minor head trauma. Conclusion: Head traumas are more common in males than females, mostly minor head traumas. Computerized brain tomography (BBT) should be performed in all cases with GCS below 15. Among all emergency admissions, our study reporting the importance of acute head trauma can be a reference for future studies.
Açıklama
Anahtar Kelimeler
Akut kafa travması, bilgisayarlı beyin tomografisi, acil servis, Acute head trauma, computed tomography, emergency service
Kaynak
Maltepe Tıp Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
13
Sayı
3
Künye
Otal, Y. ve Baydin, A. (2021). Akut kafa travmalı hastaların geriye dönük analizi / Retrospective analysis of patients with acute head injury. Maltepe Tıp Dergisi, Maltepe Üniversitesi. 13(3), s. 86-91.