SavedAdd your journal

Journals / Ulusal Travma ve Acil Cerrahi Dergisi / 2019 / Cilt: 25 - Sayı: 6

Evaluation of the necessity of whole-body scan tomography in cases with head trauma

Kafa travmalı olgularda tüm vücut tarama tomografisinin gerekliliğinin değerlendirilmesi

Ahmet Sebe
Zeynep Kekeç
Güven Kuvandık
Ali Karakuş
İffet Yaşaran
Pages
622–627
Publication Date
2022-11-05
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

The mean age of the patients with cervicalinjuries determined in CT was significantly high (p

📌 3 Key Takeaways

🎯
Objective & Hypothesis:BACKGROUND: In our study, we have tried to find out how necessary whole-body computed tomography (WBCT) is to detectother body injuries that may accompany the patients, evaluating head trauma cases with WBCT.METHODS: In our study, we included 198 patients, who were referred to our hospital’s emergency service after head trauma, hadbrain lesions detected in brain tomography (BT), had no additional examination findings and who underwent WBCT.
📊
Key Findings & Data:In this retrospective study, patients’ age, gender, type of lesion in brain CT, Glasgow Coma Scale (GCS) values and WBCT findings were examined.RESULTS: In this study, 85.4% of the patients were male and the average age was 25.7 years.
💡
Conclusion & Impact:The mean age of the patients with cervicalinjuries determined in CT was significantly high (p
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

BACKGROUND: In our study, we have tried to find out how necessary whole-body computed tomography (WBCT) is to detectother body injuries that may accompany the patients, evaluating head trauma cases with WBCT.METHODS: In our study, we included 198 patients, who were referred to our hospital’s emergency service after head trauma, hadbrain lesions detected in brain tomography (BT), had no additional examination findings and who underwent WBCT. In this retrospective study, patients’ age, gender, type of lesion in brain CT, Glasgow Coma Scale (GCS) values and WBCT findings were examined.RESULTS: In this study, 85.4% of the patients were male and the average age was 25.7 years. The most common cranial CT findingswere fracture, followed by parenchymal bleeding. 67% of the patients’ GCS were below 8. Additional trauma was detected in 78 ofthe patients (39.4%). The most common additional lesion was the thoracic contusion. The mean age of the patients with cervicalinjuries determined in CT was significantly high (p

Özet

AMAÇ: Bu çalışmada, kafa travmalı olguların tüm vücut bilgisayarlı tomografi (TVBT) ile değerlendirilip, hastalarda eşlik edebilecek diğer vücut yaralanmalarının tespiti için TVBT’nin ne kadar gerekli olduğu ortaya konmaya çalışıldı. GEREÇ VE YÖNTEM: Çalışmamıza 2012–2016 tarihleri arasında hastanemiz acil servisine kafa travması sonrasında başvurmuş, beyin tomografisinde (BT) lezyon saptanmış, ek muayene bulgusu olmayan ve TVBT çekilmiş 198 hasta alındı. Geriye dönük olarak yapılan çalışmada hastaların yaş, cinsiyet, beyin BT’deki lezyonun tipi, Glaskow Koma Skalası (GKS) değerleri ve TVBT bulguları incelendi. BULGULAR: Hastaların %85.4’ü erkek olup, yaş ortalaması 25.7 yıldı. En sık saptanan kraniyal BT bulgusu kırık, takiben parankimal kanamaydı. Hastaların %67’sinin GKS’si 8’in altındaydı. Hastaların 78’inde (%39.4) ek travma saptandı. En sık saptanan ek lezyon toraksta kontüzyondu. BT’de belirlenen servikal yaralanması olan hastaların yaş ortancaları anlamlı olarak yüksekti (p

🔖

Cite This Article

Sebe, A., Kekeç, Z., Kuvandık, G., Karakuş, A., Yaşaran, İ. (2022). Evaluation of the necessity of whole-body scan tomography in cases with head trauma. Ulusal Travma ve Acil Cerrahi Dergisi, Cilt: 25 - Sayı: 6, 622–627. https://ajindex.com/articles/644246

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (13)

  1. Stengel D, Ottersbach C, Kahl T, Nikulka C, Guthoff C, Hartel T, et al. Dose reduction in whole-body computed tomography of multiple injuries (DoReMI): protocol for a prospective cohort study. Scand J Trauma Resusc Emerg Med 2014
  2. [CrossRef ] 2. Kanz KG, Korner M, Linsenmaier U, Kay MV, Huber-Wagner SM, Kreimeier U, et al. [Priority-oriented shock trauma room management with the integration of multiple-view spiral computed tomography]. Unfallchirurg 2004
  3. 937–44. [CrossRef ] 3. Salim A, Sangthong B, Martin M, Brown C, Plurad D, Demetriades D. Whole body imaging in blunt multisystem trauma patients without obvious signs of injury: results of a prospective study. Arc surg 2006
  4. 468– 73. [CrossRef ] 4. Vyrostek SB, Annest JL, Ryan GW. Surveillance for fatal and nonfatal injuries—United States, 2001. MMWR Surveill Summ 2004
  5. 1–57. 5. Sierink JC, Treskes K, Edwards MJ, Beuker BJ, den Hartog D, Hohmann J, et al. Immediate total-body CT scanning versus conventional imaging and selective CT scanning in patients with severe trauma (REACT-2): a randomised controlled trial. Lancet 2016
  6. 673–83. [CrossRef ] 6. Sixta S, Moore FO, Ditillo MF, Fox AD, Garcia AJ, Holena D, et al. Screening for thoracolumbar spinal injuries in blunttrauma: an Eastern Association for theSurgery of Trauma practice management guideline. J Trauma Acute Care Surg 2012
  7. 326–32. [CrossRef ] 7. Karakuş A, Kekeç Z, Akçan R, Seydaoğlu G. The relationship of trauma severity and mortality with cardiac enzymes and cytokines at multiple trauma patients. Ulus Travma Acil Cerrahi Derg 2012
  8. 289–95. [CrossRef ] 8. Karakuş A, Yengil E, Akkücük S, Cevik C, Zeren C, Uruc V. The reflection of the Syrian civil war on the emergency department and assessment of hospital costs. Ulus Travma Acil Cerrahi Derg 2013
  9. 429–33. 9. Inci M, Karakuş A, Rifaioglu MM, Yengil E, Atçi N, Akin Ö, et al. A practice report of bladder injuries due to gunshot wounds in Syrian refugees. Ulus Travma Acil Cerrahi Derg 2014
  10. 371–5. [CrossRef ] 10. Wade CE, del Junco DJ, Holcomb JB
  11. Trauma Outcomes Group, Holcomb JB, Wade CE, et al. Variations between level I trauma centers in 24-hour mortality in severely injured patients requiring a massive transfusion. J Trauma 2011
  12. S389–93. [CrossRef ] 11. Çökük A, Kozacı N, Ay MO, Açıkalın A, Seviner M, Satar S. Acil Servise Başvuran Kafa Travması Olgularının Değerlendirilmesi. Cukurova Medical Journal 2013
  13. 63–71. 12. Vernberg D, Nedd K. Epidemiology of brain injury.