Your browser doesn't support javascript.
loading
Predictions and outcome of patients with skull fractures - Poster abstract
Crandon, Ivor W; Bruce, Carlton A. R; McDonald, Archibald H.
Afiliação
  • Crandon, Ivor W; University of the West Indies, Mona, Jamaica. Department of Surgery, Radiology, Anaesthesia and Intensive Care
  • Bruce, Carlton A. R; University of the West Indies, Mona, Jamaica. Department of Surgery, Radiology, Anaesthesia and Intensive Care
  • McDonald, Archibald H; University of the West Indies, Mona, Jamaica. Department of Surgery, Radiology, Anaesthesia and Intensive Care
West Indian med. j ; 49(Suppl. 2): 51, Apr. 2000.
Artigo em Inglês | MedCarib | ID: med-923
Biblioteca responsável: JM3.1
Localização: JM3.1; R18.W4
ABSTRACT

OBJECTIVE:

To determine the clinical outcome of patients presenting to the University Hospital of the West Indies with head injuries including skull fractures. DESIGN AND

METHODS:

Data was retrieved from the Hospital trauma database for the period January 15, 1998 to October 9, 1999.

RESULTS:

Of 2126 injured patients admitted to the University Hospital of the West Indies over a 21 month period, 706 patients (32.2 percent) had head injuries, of whom 141 had skull fractures. The predominantly male group had an average age of 30 years. Overall, road traffic accidents were responsible for the majority of injuries, but intentional injuries were most common (48.2 percent) in those with skull fractures. A skull fracture was associated with a longer period of unconsciousness, a lower Glasgow coma scale, a higher injury severity score, longer hospital stay, higher probability of intracranial complications, a five times more frequent rate of operative intervention, and a worse outcome. Skull X-rays are readily available in most hospitals in the Caribbean compared to CT scanning for which access is often restricted due to cost and distance.

CONCLUSIONS:

The early identification of a skull fractue can identify patients at high risk for the development of intracanial complications after a head injury. These patients need urgent neurosurgical and neuroradiological assessment so that appropriate, prompt intervention can take place. Prevention of injury and early, effective assessment and treatment are the only ways in which this common problem can be mimimized.(AU)
Assuntos
Buscar no Google
Coleções: Bases de dados internacionais Contexto em Saúde: ODS3 - Saúde e Bem-Estar Problema de saúde: Meta 3.6: Reduzir as mortes e traumatismos por acidentes de transito Base de dados: MedCarib Assunto principal: Fraturas Cranianas / Traumatismos Craniocerebrais Tipo de estudo: Estudo de etiologia / Estudo prognóstico / Fatores de risco Limite: Adolescente / Adulto / Idoso / Feminino / Humanos / Masculino País/Região como assunto: Caribe Inglês / Jamaica Idioma: Inglês Revista: West Indian med. j Ano de publicação: 2000 Tipo de documento: Artigo
Buscar no Google
Coleções: Bases de dados internacionais Contexto em Saúde: ODS3 - Saúde e Bem-Estar Problema de saúde: Meta 3.6: Reduzir as mortes e traumatismos por acidentes de transito Base de dados: MedCarib Assunto principal: Fraturas Cranianas / Traumatismos Craniocerebrais Tipo de estudo: Estudo de etiologia / Estudo prognóstico / Fatores de risco Limite: Adolescente / Adulto / Idoso / Feminino / Humanos / Masculino País/Região como assunto: Caribe Inglês / Jamaica Idioma: Inglês Revista: West Indian med. j Ano de publicação: 2000 Tipo de documento: Artigo
...