بررسي اپيدميولوژي ضربه هاي مغزي در مراجعين به بيمارستان آيت ا...كاشاني شهركرد طي يكسال از تيرماه 1379 لغايت خرداد 1380

Epidemiological analysis of head trauma in patients admitted to Kashani General Hospital, Shahrekord, June 2000-May 2001

Head trauma can result in severe disabilities and problems for patient, families and society. Trauma is the third most common cause of mortality and disability, and more than 50% to 70% of the mortality is due to head trauma. The aim of this survey was to search for epidemiological, etiological and radiological findings in 1510 patients admitted to Kashani General Hospital from June 2000 to May 2001. The patients consisted of 74.1% males and 25.9% females, and 25% of them were 11-20 years old. The main reasons for admission was falling (33%), car accident (29%) and assault injury (15%). With respect to the consciousness level, according to Glasgow Coma Scale (GCS), the patients were divided to severe (4.5%), moderate (6.9%) and mild (88.6%). 58% of the patients had multiple traumas. High percentage of trauma in the second decade of life, trauma with contact mechanism (e.g. compound depress fracture) and assaults injury (15%) were peculiar to this survey. Overuse of X-ray (in more than 78%, with less than 5% positive findings) and CTS (with 84% normal report) in these patients highlight the need for revising of the use of these techniques.Since there was a high percentage (53%) of mortality among patients referred front other centers, the diagnostic and treatment facilities of the referring centers should be improved.