طب اورژانس ایران (Feb 2015)
Head Trauma Patients Presented To Emergency Department; an Epidemiologic Study
Abstract
Introduction: Traumatic brain injuries are among the most important causes of mortality and disability. Since there is a lot of controversy regarding discharge of head trauma patients, especially those with mild traumatic brain injuries, this study was designed aiming to evaluate traumatic brain injuries from an epidemiologic point of view. Methods: In this retrospective cross-sectional study, patients with isolated head trauma, and all those who underwent computed tomography (CT) were included using convenience sampling. Demographic data and final diagnosis of the patients were extracted from their medical profile, and were analyzed using SPSS 21 and appropriate statistical tests. Results: 786 patients with the mean age of 24 ± 16.8 years (range: 0.5 – 75) were evaluated (67.8% male). 42 patients (5.3%) had abnormal CT scan and were hospitalized. 7 of them (16.7% of hospitalized, 3.3% of low-risk, and 0.9% of all patients) were in the group categorized as low-risk regarding probability of brain injuries. 12 (1.5%) participants needed surgery, 2 of which (0.9%) were initially categorized as low-risk. Vomiting was significantly more in patients with abnormal CT scan (45.2%) compared to those who had normal CT scan (19.6%) (p = 0.0001). No significant difference was detected between the 2 groups in other symptoms. Conclusion: The results of this study indicate that by making decisions based on clinical findings alone, there is a probability of about 3.3% error in management of head trauma patients. In addition, 0.9% of the patients initially categorized as low-risk, needed surgical intervention in the end.
