بررسي ضربه به سر در بيماران مراجعه كننده به بخش فوريتهاي بيمارستانهاي سينا، شهدا و فياض بخش شهر تهران

EVALUATION OF HEAD INJURY IN PATIENTS REPORTING AT EMERGENCY CENTERS OF SINA, SHOHADA AND FAYAZI3AKHSH HOSPITALS, TEHRAN

Trauma remains one of the major causes of morbidity and mortality in countries. Out of trauma cases, head injuries forms a major component, and as a result plays a significant role in the disabifities . An epidemiological information is a prerequisite for any intervention to reduce such burdens . Several studies have been conducted on head injuries and we have tried in this study to answer some of the epidemiological aspects of head injury . In this cross sectional descriptive study , during a one year period, patients with head injuries who were referred to sina, shohada and fayaz bakhsh hospitals were included. During this period , a total of 58000 patients reported at the Emergency center out of whom 10967 patients had sustained head injuries. which came to about 18.9% of the total patients. Mean age on the whole was 23.95(±:0.17) years and male to female ratio being 2.9 to 1. City accidents accounted for most of the head injuries (44.1%) and the commonest cause of head injuries was found to he motor vehicle accidents(34.5%). As regards consciousness evaluated according to Glasgow coma scale, 96% of the patients had mild injuries (GCS> 12), 1.4% had moderate injuries (GCS >8 and <13) and 2.2% had severe injuries (GCS <8).83.4% of the patients received ambulatory treatment whereas 6.6% of the patients were hospitalized. Morbidity and mortality on the whole in these patients was found to be 2.2%.