Volume 6, Issue 2 (Autumn 2020)                   SJNMP 2020, 6(2): 104-114 | Back to browse issues page

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Azizi Shayesteh F, Roshani D, Sharifi K. Evaluation of CT scans of head trauma patients referred to the emergency department of Besat Hospital in Sanandaj: A cross-sectional study. SJNMP 2020; 6 (2) :104-114
URL: http://sjnmp.muk.ac.ir/article-1-344-en.html
1- Kurdistan University of Medical Sciences
2- Kurdistan University of Medical Sciences , drsharifi53664@gmail.com
Abstract:   (2077 Views)
Background & Aim: Traumatic brain injury (TBI) is one of the leading causes of death and disability. The aim of this study was to evaluate the CT scan findings of head trauma patients referred to the emergency department of Besat Hospital in Sanandaj from 2016 to 2017.
Materials & Methods: In this cross-sectional study, data of 622 medical records of head trauma patients who had referred to the emergency department of Besat Hospital in Sanandaj were extracted and evaluated. SPPS 22 software was used for data analysis.
Results: The mean age of the entire men and women were 37.7 ±22 and 40.8±29.6 years, respectively. The overall male to female ratio was 1:3.8. The most common causes of TBI were road traffic accident (56.1%), falls (25.4%), fall to the ground (8.7%), dispute (2.6%), bicycle (1.6%), seizure (1.6%) and others (4.8%). The most common CT scan head injury related findings were: skull fractures (37.3%), epidural hematoma (19.3%), subdural hematoma (46.1%), subarachnoid hemorrhage (21.7%), intraparenchymal hematoma (15.2%), intraventricular hemorrhage (8.7%), brain contusion (55%), and brain edema (13.6%). The most common clinical symptoms were a headache (25.4%) and nausea (10%).
Conclusion: One of the most important causes of brain injuries in the age group of the labor force, especially for men in the age range of 21-30 years in Kurdistan province is road accidents. Patients' age data for head injury as well as the cause of the injury should be considered during preventive planning and care services.
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Type of Study: Research | Subject: Special
Received: 2020/08/10 | Revised: 2020/11/7 | Accepted: 2020/11/7 | Published: 2020/08/31 | ePublished: 2020/08/31

1. Gean AD, Fischbein NJ. Head trauma. Neuroimaging Clin N Am. 2010 Nov;20(4):527-56. [DOI:10.1016/j.nic.2010.08.001]
2. Ghajar J. Traumatic brain injury. Lancet. 2000;356(9233):923-9. [DOI:10.1016/S0140-6736(00)02689-1]
3. Leibson CL, Brown AW, Hall Long K, Ransom JE, Mandrekar J, Osler TM, Malec JF. Medical care costs associated with traumatic brain injury over the full spectrum of disease: a controlled population-based study. J Neurotrauma. 2012 Jul 20;29(11):2038-49. [DOI:10.1089/neu.2010.1713]
4. de Almeida CER, de Sousa Filho JL, Dourado JC, Gontijo PAM, Dellaretti MA, Costa BS. Traumatic brain injury epidemiology in Brazil. World Neurosurg. 2016;87:540-7. [DOI:10.1016/j.wneu.2015.10.020]
5. Koskinen S, Alaranta H. Traumatic brain injury in Finland 1991-2005: a nationwide register study of hospitalized and fatal TBI. Brain Inj. 2008;22(3):205-14. [DOI:10.1080/02699050801938975]
6. Tagliaferri F, Compagnone C, Korsic M, Servadei F, Kraus J. A systematic review of brain injury epidemiology in Europe. Acta Neurochir. 2006;148(3):255-68. [DOI:10.1007/s00701-005-0651-y]
7. Peeters W, van den Brande R, Polinder S, Brazinova A, Steyerberg EW, Lingsma HF, et al. Epidemiology of traumatic brain injury in Europe. Acta Neurochir. 2015;157(10):1683-96. [DOI:10.1007/s00701-015-2512-7]
8. Menon D, Schwab K, Wright D, Maas A. Demographics and Clinical Assessment Working Group of the International and Interagency Initiative toward Common Data Elements for Research on Traumatic Brain Injury and Psychological Health. Position statement: definition of traumatic brain injury. Arch Phys Med Rehabil. 2010;91(11):1637-40. [DOI:10.1016/j.apmr.2010.05.017]
9. Prabhu S. Surgical management of traumatic brain injury. Youman's Neurosurgery. 2004;328:5145-79.
10. Maas AI, Stocchetti N, Bullock R. Moderate and severe traumatic brain injury in adults. Lancet Neurol. 2008;7(8):728-41. [DOI:10.1016/S1474-4422(08)70164-9]
11. Langlois JA, Sattin RW. Traumatic brain injury in the United States: Research and programs of the Centers for Disease Control and Prevention (CDC)-Preface. J Head Trauma Rehabil. 2005;20(3):187-8. [DOI:10.1097/00001199-200505000-00001]
12. Roozenbeek B, Maas AI, Menon DK. Changing patterns in the epidemiology of traumatic brain injury. Nat Rev Neurol. 2013;9(4):231. [DOI:10.1038/nrneurol.2013.22]
13. Langlois JA, Rutland-Brown W, Thomas KE. Traumatic brain injury in the United States; emergency department visits, hospitalizations, and deaths. 2006. [DOI:10.1037/e721222007-001]
14. Firsching R, Woischneck D. Present status of neurosurgical trauma in Germany. World J Surg. 2001;25(9):1221-3. [DOI:10.1007/s00268-001-0085-5]
15. Servadei F, Antonelli V, Betti L, Chieregato A. Regional brain injury epidemiology as the basis for planning brain injury treatment: The Romagna (Italy) experience/Comments. J Neurosurg Sci. 2002;46(3/4):111.
16. Saatian M, Ahmadpoor J, Mohammadi Y, Mazloumi E. Epidemiology and Pattern of Traumatic Brain Injury in a Developing Country Regional Trauma Center. Bull Emerg Trauma, 2018; 6(1): 45-53. [DOI:10.29252/beat-060107]
17. Monsef Kasmaei V, Asadi P, Zohrevandi B, Raouf MT. An Epidemiologic Study of Traumatic Brain Injuries in Emergency Department. Arch Acad Emerg Med. 2015 ;3(4):141-5.
18. Faul M, Wald MM, Xu L, Coronado VG. Traumatic brain injury in the United States; emergency department visits, hospitalizations, and deaths, 2002-2006. 2010. [DOI:10.15620/cdc.5571]
19. Moini M, Rezaishiraz H, Zafarghandi MR. Characteristics and outcome of injured patients treated in urban trauma centers in Iran. J Trauma. 2000;48(3):503-7 [DOI:10.1097/00005373-200003000-00023]
20. Consunji R, Ameratunga S, Hyder AA. Trauma care in the developing world: Introduction to special issue. Surg. 2017;162(6s):S2-s3. [DOI:10.1016/j.surg.2017.06.011]
21. Saadat S, Yousefifard M, Asady H, Jafari AM, Fayaz M, Hosseini M. The Most Important Causes of Death in Iranian Population; a Retrospective Cohort Study. Emerg. 2014;3(1):16-21.
22. Forouzan A, Masoumi K, Motamed H, Teimouri A, Barzegari H, Zohrevandi B, et al. Head Trauma Patients Presented To Emergency Department; an Epidemiologic Study.Iran J Emerg Med.2015;2(3):134-138.
23. Farzaneh E, Fattahzadeh-Ardalani G, Abbasi V, Kahnamouei-aghdam F, Molaei B, Iziy E, Ojaghi E. The Epidemiology of Hospital-Referred Head Injury in Ardabil City.Emerg Med Int 2017; 2017. Doi:10.1155/2017/1439486 [DOI:10.1155/2017/1439486]
24. Rutland-Brown W, Langlois JA, Thomas KE, Xi YL. Incidence of traumatic brain injury in the United States, 2003. J Head Trauma Rehabil. 2006;21(6):544-8. [DOI:10.1097/00001199-200611000-00009]
25. Faul M, Xu L, Wald M, Coronado V. Traumatic brain injury in the united states. Atlanta, GA: Centers for Disease Control and Prevention. National Center for Injury Prevention and Control. 2010
26. Gajjar R, Modi M. The Corelation between Epidemiology, Glasgow Coma Scale and Computed Tomography Findings in Patient with Traumatic Brain Injury: A Prospective Analysis from A Tertiary Care Centre in A Developing Country. Acta Sci Neurol 2020; 3.1: 43-48.
27. Hanley D,Prichep LS,Bazarian J,Huff JS,Naunheim R, Garrett J , et al. Emergency Department Triage of Traumatic Head Injury Using a Brain Eectrlical Activity Biomarker: A Multisite Prospective Observational Validation Trial.Acad Emerg Med 2017;24(5):617-29. [DOI:10.1111/acem.13175]

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