Traumatic Brain Injuries: Experience from a tertiary Care Center in pakistan
Yıl: 2014 Cilt: 24 Sayı: 1 Sayfa Aralığı: 19 - 24 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022
Traumatic Brain Injuries: Experience from a tertiary Care Center in pakistan
Öz: AmAÇ: Travmatik Beyin Yaralanması morbidite, mortalite ve ekonomik kaybın önde gelen nedenlerinden birisidir. Etkisi Pakistan gibi gelişmekte olan ülkelerde çok daha belirgindir. Bu çalışmanın hedefi, Pakistan'da travmatik beyin yaralanması etiyolojik paterni ve dağılımını vurgulamaktı.yÖntem ve GereÇler: Temmuz 2009 ile Haziran 2011 arasında, Acil Servisimize gelen kafa travmalı toplam 1378 hasta çalışmaya dahil edildi. Hastalar travma protokolüne göre ayrıntılı klinik ve radyolojik değerlendirmeden geçti.BulGulAr: En sık etkilenen yaş grubu 21 ila 30 yaştı (%34,1) ve erkek-kadın oranı 3.3:1 idi. Yaralanmalar temel olarak trafik kazaları (%62,6), düşmeler (%31,7) ve saldırı (%5,5) nedeniyleydi. Trafik kazası geçirenlerin %1'inden azı altı uygun güvenlik ekipmanı kullanmaktaydı. En sık görülen BT sonucu beyin kontüzyonuydu (%14,1); ayrıca travmatik subaraknoid kanama (%7,1), subdural hematom (%7,6), ekstra dural hematom (%5,8) ve deprese kafatası kırığı (%4,6) görüldü.sOnuÇ: Motosiklet yaralanmaları şiddetli travmatik beyin yaralanmasının temel bir nedenidir. Bu, uygun koruyucu başlıklar kullanılarak minimuma indirilebilir ama bunların da kullanımı sınırlıdır. Ayrıca şehir çapında sekonder beyin hasarı sonuçlarını minimuma indirmek üzere uygun bir sevk sisteminin uygulamaya konması çok önemlidir
Anahtar Kelime: Konular:
Travmatik Beyin Yaralanmaları: Pakistan'da Bir Tersiyer Bakım Merkezi'nin Deneyimi
Öz: AIm: Traumatic Brain Injury (TBI) is one of the leading causes for morbidity, mortality and economic loss. The impact is much worse in developing countries like Pakistan. The objective of our study was to highlight the etiological pattern and distribution of TBI in Pakistan. mAterIAl and methOds: From July 2009 to June 2011, 1378 patients presenting to our Accident and Emergency Department with head injury were included in the study. Patients underwent detailed clinical and radiological evaluation as per trauma protocol. results: The most commonly affected age group was 21 to 30 years (34.1%) with male to female ratio of 3.3:1. Injuries were predominantly caused by road traffic accident (62.6%), followed by fall (31.7%) and assault (5.5%). Amongst those with RTA less than 1% of the patients were wearing proper safety equipment. The most common CT scan finding was brain contusion (14.1%); others included traumatic sub-arachnoid hemorrhage (7.1%), subdural hematoma (7.6%), extra-dural hematoma (5.8%) and depressed skull fracture (4.6%). COnClusIOn: Motorbike accidents are a major cause of severe traumatic brain injury. Although this can be minimized by wearing proper helmets, its use is limited. Moreover, there is an imperative need to implement proper referral system amongst hospitals citywide in order to minimize the consequences of secondary brain injury
Anahtar Kelime: Konular:
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
- Bainbridge J, Khirwadkar H, Hourihan MD: Vomiting - is this a good indication for CT head scans in patients with minor head injury? Br J Radiol 85(1010):183-186, 2012
- Bakir A, Temiz C, Umur S, Aydin V, Torun F: High-velocity gunshot wounds to the head: Analysis of 135 patients. Neurol Med Chir 45:281-287, 2005
- Bakshi R: Diffusion-weighted MRI as an evolving standard of care in acute stroke. Neurology 55:1595, 2000
- Bazarian JJ, Blyth B, Mookerjee S, He H, McDermott MP: Sex differences in outcome after mild traumatic brain injury. J Neurotrauma 27:527-539, 2010
- Bell RS, Mossop CM, Dirks MS, Stephens FL, Mulligan L, Ecker R, Neal CJ, Kumar A, Tigno T, Armonda RA: Early decompressive craniectomy for severe penetrating and closed head injury during wartime. Neurosurg Focus 28:E1, 2010
- Bullock MR, Chesnut R, Ghajar J, Gordon D, Hartl R, Newell DW, Servadei F, Walters BC, Wilberger JE: Surgical management of acute subdural hematomas. Neurosurgery 58 (Suppl 3): s16-s24, 2006
- Cassidy JD, Carroll LJ, Peloso PM, Borg J, von Holst H, Holm L, Kraus J, Coronado VG: 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 43:28-60, 2004
- Esposito DP, Walker JP: Contemporary management of penetrating brain injury. Neurosurg Q 19:249-254, 2009
- Fainardi E, Chieregato A, Antonelli V, Fagioli L, Servadei F: Time course of CT evolution in traumatic subarachnoid hemorrhage: A study of 141 patients. Acta Neurochir (Wien) 146:257- 263, 2004
- Faul M, Xu L, Wald MM, Coronado VG: Traumatic brain unjury in the United States: Emergency department visits, hospitalizations and deaths. Atlanta (GA): Centers for Disease control and Prevention, National Center for Injury Prevention and Control; 2010
- Sharif-Alhoseini M, Khodadadi H, Chardoli M, Rahimi
- Movaghar V: Indications for brain computed tomography scan after minor head injury. J Emerg Trauma Shock 4(4):472- 476, 2011
- Shukla D, Devi BI: Mild traumatic brain injuries in adults. J Neurosci Rural Pract 1(2): 82-88, 2010
- Siddiqui FM, Bekker SV, Qureshi AI: Neuroimaging of hemorrhage and vascular defects. Neurotherapeutics 8(1): 28-38, 2011
- Sifri ZC, Livingston DH, Lavery RF, Homnick AT, Mosenthal AC, Mohr AM, Hauser CJ: Value of repeat cranial computed axial tomography scanning in patients with minimal head injury. Am J Surg 187:338 -342, 2004
- Stevens JA, Dellinger AM: Motor vehicle and fall related deaths among older Americans 1990-98: Sex, race, and ethnic disparities. Inj Prev 8(4): 272-275, 2002
- Stiell IG, Clement CM, Rowe BH, Schull MJ, Brison R, Cass D, Eisenhauer MA, McKnight RD, Bandiera G, Holroyd B, Lee JS, Dreyer J, Worthington JR, Reardon M, Greenberg G, Lesiuk H, MacPhail I, Wells GA: Comparison of the canadian CT head rule and the New Orleans Criteria in patients with minor head injury. JAMA 294(12): 1511-1158, 2005
- Stiell IG, Wells GA, Vandemheen K, Clement C, Lesiuk H, Laupacis A, McKnight RD, Verbeek R, Brison R, Cass D, Eisenhauer ME, Greenberg G, Worthington J: The Canadian CT Head Rule for patients with minor head injury. Lancet 357:1391-6, 2001
- Stippler M, Smith C, McLean AR, Carlson A, Morley S, Murray- Krezan C, Kraynik J, Kennedy G: Utility of routine follow- up head CT scanning after mild traumatic brain injury: A systematic review of the literature. Emerg Med J 29(7): 528-532, 2012
- Surgical management of penetrating brain injury. J Trauma 51:S16-25, 2001
- Swanson JO, Vavilala MS, Wang J, Pruthi S, Fink J, Jaffe KM, Durbin D, Koepsell T, Temkin N, Rivara FP: Association of initial CT findings with quality-of-life outcomes for traumatic brain injury in children. Pediatr Radiol 42(8):974-981, 2012
- Thurman D: Head Trauma: Basic, preclinical, and clinical directions. In: Miller L, Ayes R (ed). Head Trauma: Basic, Preclinical, and Clinical Directions. New York: John Wiley and Sons, 2001:327-347
- Tian H, Chen S, Xu T, Hu J, Rong B, Wang G, Gao W, Chen H: Risk factors related to hospital mortality in patients with isolated traumatic acute subdural haematoma: Analysis of 308 patients undergone surgery. Chin Med J 121(12): 1080-1084, 2008
- Tseng WC, Shih HM, Su YC, Chen HW, Hsiao KY, Chen IC: The association between skull bone fractures and outcomes in patients with severe traumatic brain injury. J Trauma 71(6):1611-1614, 2011
| APA | UMERANI M, ABBAS A, SHARIF S (2014). Traumatic Brain Injuries: Experience from a tertiary Care Center in pakistan. , 19 - 24. |
| Chicago | UMERANI Muhammad Sohail,ABBAS Asad,SHARIF Salman Traumatic Brain Injuries: Experience from a tertiary Care Center in pakistan. (2014): 19 - 24. |
| MLA | UMERANI Muhammad Sohail,ABBAS Asad,SHARIF Salman Traumatic Brain Injuries: Experience from a tertiary Care Center in pakistan. , 2014, ss.19 - 24. |
| AMA | UMERANI M,ABBAS A,SHARIF S Traumatic Brain Injuries: Experience from a tertiary Care Center in pakistan. . 2014; 19 - 24. |
| Vancouver | UMERANI M,ABBAS A,SHARIF S Traumatic Brain Injuries: Experience from a tertiary Care Center in pakistan. . 2014; 19 - 24. |
| IEEE | UMERANI M,ABBAS A,SHARIF S "Traumatic Brain Injuries: Experience from a tertiary Care Center in pakistan." , ss.19 - 24, 2014. |
| ISNAD | UMERANI, Muhammad Sohail vd. "Traumatic Brain Injuries: Experience from a tertiary Care Center in pakistan". (2014), 19-24. |
| APA | UMERANI M, ABBAS A, SHARIF S (2014). Traumatic Brain Injuries: Experience from a tertiary Care Center in pakistan. Turkish Neurosurgery, 24(1), 19 - 24. |
| Chicago | UMERANI Muhammad Sohail,ABBAS Asad,SHARIF Salman Traumatic Brain Injuries: Experience from a tertiary Care Center in pakistan. Turkish Neurosurgery 24, no.1 (2014): 19 - 24. |
| MLA | UMERANI Muhammad Sohail,ABBAS Asad,SHARIF Salman Traumatic Brain Injuries: Experience from a tertiary Care Center in pakistan. Turkish Neurosurgery, vol.24, no.1, 2014, ss.19 - 24. |
| AMA | UMERANI M,ABBAS A,SHARIF S Traumatic Brain Injuries: Experience from a tertiary Care Center in pakistan. Turkish Neurosurgery. 2014; 24(1): 19 - 24. |
| Vancouver | UMERANI M,ABBAS A,SHARIF S Traumatic Brain Injuries: Experience from a tertiary Care Center in pakistan. Turkish Neurosurgery. 2014; 24(1): 19 - 24. |
| IEEE | UMERANI M,ABBAS A,SHARIF S "Traumatic Brain Injuries: Experience from a tertiary Care Center in pakistan." Turkish Neurosurgery, 24, ss.19 - 24, 2014. |
| ISNAD | UMERANI, Muhammad Sohail vd. "Traumatic Brain Injuries: Experience from a tertiary Care Center in pakistan". Turkish Neurosurgery 24/1 (2014), 19-24. |
