An epidemiologic study of traumatic head injuries in the emergency department of a tertiary health institution

Onwuchekwa, RC; Echem, Richard C.

doi:10.4103/jomt.jomt_28_17

Cited by 8 publications

(6 citation statements)

References 1 publication

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“…Most important parameters affecting mortality after head and spinal trauma include trauma severity, low GCS, advanced age, and comorbidities. 3,8,9 In the present study, no significant difference in mortality rate was found between before-after pandemic periods.…”

Section: Discussioncontrasting

confidence: 62%

“…It is known that men are more involved in business life than women. 2,4,8,9,12 Although the rate of males was higher before and after the pandemic in our study, no statistically significant difference was found between the genders (Table 1). We think this difference does not exist as all genders stay at home as active life is restricted due to Covid-19 isolation.…”

Section: Discussioncontrasting

confidence: 57%

“…8 Motor vehicle accidents and falls from heights are more common in younger ages, while falling from the same level is more frequent in elderly individuals. 3,7,9 In our study, no significant difference was found between pre-and post-pandemic periods regarding the frequency of admissions due to motor vehicle accidents, assault, hanging, injury, electric shock, and drowning (p>0.05). In contrast, the frequency of admissions because of gunshot injury was significantly higher in patients that were admitted after the pandemic compared to those who were admitted before the pandemic.…”

Section: Discussioncontrasting

confidence: 56%

“…3 A study conducted in Scotland reported that the rates of hospitalization because of neurosurgical trauma in patients aged over 65 years had increased remarkably. 9 Perez et al reported that the traumatic spinal injury rate in individuals over 65 years showed no significant change. 4 In the literature, advanced age is accepted as a prognostic factor for head trauma.…”

Section: Discussionmentioning

confidence: 99%

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Effects of COVID-19 Isolation Practices on Neurosurgical Traumas

AKTAŞ

ÇETİN

2023

CMJ

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Aim: Coronavirus disease 2019 (COVID-19) is an infectious disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and was declared a pandemic by the World Health Organization (WHO) on March 11, 2020. We aimed to investigate the frequency of head and spinal injuries caused by trauma before and after the pandemic. To identify the situations that should be taken into account in isolation measures due to the possibility of the emergence of such epidemics in the globalizing world. Material and Method: Medical records of 2595 patients were accessed and 1309 patients with missing patient data were excluded from the study. Normal distribution of continuous variables was assessed using Kolmogorov-Smirnov test. Continuous variables were compared using Mann-Whitney U test and categorical variables were compared using Chi-square test or Fisher’s exact test. Results: Data of 1286 patients were analyzed. Some parameters differ before and after the pandemic, age, injury mechanism, type of lesion, spinal trauma. The average age is 33.9 and the male-female ratio is 3/2. The most frequent admission to the emergency room was in the summer. In our data, there were significant differences in age, gunshot wounds in the trauma mechanism, soft tissue injury and contusion in lesions, and spinal trauma. Conclusion: The Covid pandemic has caused imperative changes in every aspect of life. This situation also caused a change in the reasons for applying to hospitals. It has been shown that the isolations performed because of Covid-19 did not affect the diagnosis, treatment, and mortality of the patients, although they changed the mechanisms of head and spine trauma. Even with compulsory isolation for public health, the approach to neurosurgical traumas that may occur should not change. It should not be forgotten that in the presence of the Covid 19 pandemic, it continues in other clinical situations.

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Section: Discussioncontrasting

confidence: 62%

Section: Discussioncontrasting

confidence: 57%

Section: Discussioncontrasting

confidence: 56%

Section: Discussionmentioning

confidence: 99%

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Effects of COVID-19 Isolation Practices on Neurosurgical Traumas

AKTAŞ

ÇETİN

2023

CMJ

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“…17,18 Besides, the fatality rate of THI relative to total injured patients had found 22.6% and 30.7%. 16,19 The mortality rates of THI in Ethiopia (Addis Ababa, Hawassa, and Bahir Dar) were 10.3%, 12.7%, and 25.3%, respectively. [20][21][22] Absence of pre-hospital care, having extra-cranial damage, lack of neurosurgical intervention, increased age, lower GCS on admission, pupil abnormalities were predictive factors for higher mortality in TBI patients.…”

Section: Introductionmentioning

confidence: 99%

Incidence and Predictors of Mortality Among Patients with Traumatic Brain Injury at University of Gondar Comprehensive Specialized Hospital, Northwest Ethiopia: A Retrospective Follow-Up Study

Tegegne¹,

Fentie²,

Tegegne³

et al. 2023

PROM

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Background: Traumatic brain injury is a major list of health and socioeconomic problems especially in low-and middle-income countries which influences productive age groups. Differences in patient characteristics, socioeconomic status, intensive care unit admission thresholds, health-care systems, and the availability of varying numbers of intensive care unit (ICU) beds among hospitals had shown to be the causes for the variation on the incidence in mortality following traumatic brain injury across different continents. The aim of this study was to assess the incidence and predictors of mortality among patients with traumatic brain injury at University of Gondar Comprehensive Specialized Hospital. Methods: A retrospective follow-up study was conducted based on chart review and selected patient charts admitted from January, 2017 to January, 2022. Participants in the study were chosen using a simple random sample procedure that was computer generated. Data was entered with epi-data version 4.6 and analyzed using SPSS version 26. Both bivariate and multivariate logistic regression analyses were used, and in multivariate logistic regression analysis, P-value <0.05 with 95% CI was considered statistically significant. Results: The magnitude of mortality was 28.8%. Most of the injuries were caused by assault followed by road traffic accident (RTA). About 30% of the subjects presented with severe head injuries and epidural hematoma (EDH) followed by skull fracture were the most common diagnoses on admission. The independent predictors of mortality were male sex (

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