Effecting Factors of Outcome in Head Injury

BACKGROUND
In this study, the data that can be obtained from our patient record system is investigated to effect on the outcome in the adult head injured patients.

METHODS
The records of 356 adult head injured patients hospitalized in Trakya University Hospital, Department of Neurosurgery and Intensive Care Unit have been examined. Result of the obtained data has been analyzed by statistically.

RESULTS
Age (p=0.012), using airway tube (p<0.001), values of GCS was detected on injury side and Emergency Unit (p<0.001), clustered systolic and diastolic TA values (p<0.001, accompanied by chest (p=0.001) and abdominal (p=0.041), injury, anisocoria (p=0.001), pupillary ligth responce (p<0.001), intracranial radiologic findings such as; SDH (p<0.001), brain contusion (p=0.006), traumatic SAH (p<0.001), traumatic ICH (p=0.005) and brain edema (p<0.001), doing surgical procedure (p<0.001) and presence of nosocomial infection (p<0.001) make significant differences on the outcome were found.

CONCLUSION
Main aim must be reducing the formation of an accident at reducing of death due to head injuries; additionally, emergency and hospital care facilities should be developed injury cases.

Kafa Yaralanmalarýnda Sonucu Belirleyen Etkenler

AMAÇ
Bu çalýþmada, yetiþkin kafa yaralanmalý olgularda hasta kayýt sistemimizden elde edilebilen verilerin sonuç üzerine etkisi araþtýrýldý.

GEREÇ VE YÖNTEM
Trakya Üniversitesi Hastanesi Beyin ve Sinir Cerrahisi Anabilm Dalý ve Yoðun Bakým Ünitelerine yatýrýlan 356 KY tanýlý yetiþkin olgunun kayýtlarý incelendi. Elde edilen veriler istatistiksel olarak incelendi.

BULGULAR
Yaþ (p=0,012), havayolu tüplenmesi (p<0,001), olay yeri ve Acil Birimde saptanan GKÖ deðerleri (p<0,001), kümelen sistolik ve diastolik TA deðerleri (p<0,001, eþlik eden göðüs (p=0,001) ve karýn (p=0,041) yaralanmasý, anizokori (p=0,001), IR (p<0,001), kafatasý içi radyolojik bulgulardan SDK (p<0,001), BE (p=0,006), ySAK (p<0,001), yBÝK (p=0,005) ve BÖ (p<0,001), cerrahi giriþim yapýlmasý (p<0,001) ve hastane infeksiyonu varlýðý (p<0,001) verilerinin sonuç üzerinde anlamlý farklýlýk oluþturduðu saptandý.

SONUÇ
Kafa yaralanmalarýna baðlý ölümlerin azaltýlmasýnda temel amaç kaza oluþumunun azaltýlmasý olmalý, ayrýca ilk müdahale ve hastane bakým þartlarý yaralanmalý olgular için iyileþtirilmelidir.