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Management of mild and moderate head injuries in adults
Introduction: Craniocerebral trauma (CCT) is a major cause of morbidity and mortality world wide. In Romania, the trauma is the forth leading cause of mortality after vascular, neoplastic and digestive diseases and its coincidence continues to increase and this is explained by the development of transport infrastructure and by the increasing number of the motor vehicle and assaults. CCT consequences lead most of the time to invalidity, so the patients find it difficult to integrate in society or to return to their jobs, and the economic costs are high. Despite the fact that minor and moderate CCT appear frequently, their classification and management remain surprisingly controversial and pose problems due to the lack of agreement on definitions, of universal standardized guidelines, of insufficient studies and most importantly the lack of medical logistics and medical legal environment. Also, the absence of such guidelines increase the morbidity and mortality in patients with CCT due to the lack of information and prompt diagnosis and have high economic costs because of diagnostic tests and unnecessary hospitalization.Objectives: Demonstrating the need for a protocol on minor and moderate management.Material and methods: The study group included 91 patients (M/F 66/25) aged between 8 and 92 years, hospitalized in the Clinic of Neurosurgery in Iasi in the period 2004-2009.The patients were clinically evaluated both at admission (GCS) and at discharge, imaging (CT) and it was followed up the etiology of CCT and the present symptoms.
Management of mild and moderate head injuries in adults
Introduction: Craniocerebral trauma (CCT) is a major cause of morbidity and mortality world wide. In Romania, the trauma is the forth leading cause of mortality after vascular, neoplastic and digestive diseases and its coincidence continues to increase and this is explained by the development of transport infrastructure and by the increasing number of the motor vehicle and assaults. CCT consequences lead most of the time to invalidity, so the patients find it difficult to integrate in society or to return to their jobs, and the economic costs are high. Despite the fact that minor and moderate CCT appear frequently, their classification and management remain surprisingly controversial and pose problems due to the lack of agreement on definitions, of universal standardized guidelines, of insufficient studies and most importantly the lack of medical logistics and medical legal environment. Also, the absence of such guidelines increase the morbidity and mortality in patients with CCT due to the lack of information and prompt diagnosis and have high economic costs because of diagnostic tests and unnecessary hospitalization.Objectives: Demonstrating the need for a protocol on minor and moderate management.Material and methods: The study group included 91 patients (M/F 66/25) aged between 8 and 92 years, hospitalized in the Clinic of Neurosurgery in Iasi in the period 2004-2009.The patients were clinically evaluated both at admission (GCS) and at discharge, imaging (CT) and it was followed up the etiology of CCT and the present symptoms.
Management of mild and moderate head injuries in adults
Turliuc, Dana (author) / Cucu, A. (author)
2010-12-15
Romanian Neurosurgery; Vol. XVII, No. 4 (2010); 421-431 ; 2344-4959 ; 1220-8841
Article (Journal)
Electronic Resource
English
management , medium CCT , minor CCT , GOS , protocol
DDC:
710
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