TY - JOUR
PY - 2015//
TI - Outcomes and demonstration of cranial firearm injuries: a multicenter retrospective study
JO - Ulusal travma ve acil cerrahi dergisi
A1 - Cınar, Kadir
A1 - Seçer, Mehmet
A1 - Alagoz, Fatih
A1 - Ulutaş, Murat
A1 - Uckun, Ozhan Merzuk
A1 - Yıldırım, Ali Erdem
A1 - Gurcay, Ahmet Gurhan
A1 - Guvenc, Yahya
A1 - Celik, Haydar
A1 - Narin, Firat
SP - 291
EP - 296
VL - 21
IS - 4
N2 - BACKGROUND: Cranial firearm injuries (CFAI) are associated with significant morbidity and mortality.This study was aimed to determine the factors affecting mortality of CFAI cases managed in our institution by a retrospective analysis of CT scans and clinical data.
METHODS: This multicenter retrospective study examined two hundred and nineteen patients presenting to neurosurgery clinics after CFAI between January 2012 and November 2014. Age, sex, Glasgow Coma Score (GCS), CT findings, and mortality and morbidity rates of the patients were analyzed to determine the factors affecting mortality.
RESULTS: Mean age of the study population was 24.19 +/- 12.25 years, 85.8% of them were male. The most common CT findings were fracture (100%), intracranial hemorrhage (61.2%), and an intracranially located foreign body (44.3%). A cranial operation was performed in 64.8% of the victims. Mean GCS on admission was 8 +/- 3.9, which increased in survivors (p<0.05).
CONCLUSION: CFAIs are associated with increased mortality and morbidity. We determined that many factors affected morbidity and mortality rates, and patient age, presence of intracranial hemorrhage, GCS, and treatment protocols were significantly associated with mortality.
Language: en
LA - en SN - 1306-696X UR - http://dx.doi.org/10.5505/tjtes.2015.84883 ID - ref1 ER -