TY - JOUR PY - 2021// TI - Prevalence and characteristics of earthquake-related head injuries: a systematic review JO - Disaster medicine and public health preparedness A1 - Igarashi, Yutaka A1 - Matsumoto, Narumi A1 - Kubo, Tatsuhiko A1 - Yamaguchi, Masahiro A1 - Nakae, Ryuta A1 - Onda, Hidetaka A1 - Yokobori, Shoji A1 - Koido, Yuichi A1 - Yokota, Hiroyuki SP - ePub EP - ePub VL - ePub IS - ePub N2 - OBJECTIVE: We conducted a systematic review to determine the prevalence and characteristics of earthquake-associated head injuries for better disaster preparedness and management.

METHODS: We searched for all publications related to head injuries and earthquakes from 1985 to 2018 in MEDLINE and other major databases. A search was conducted using "earthquakes," "wounds and injuries," and "cranio-cerebral trauma" as a medical subject headings.

RESULTS: Included in the analysis were 34 articles. With regard to the commonly occurring injuries, earthquake-related head injury ranks third among patients with earthquake-related injuries. The most common trauma is lower extremity (36.2%) followed by upper extremity (19.9%), head (16.6%), spine (13.1%), chest (11.3%), and abdomen (3.8%). The most common earthquake-related head injury was laceration or contusion (59.1%), while epidural hematoma was the most common among inpatients with intracranial hemorrhage (9.5%) followed by intracerebral hematoma (7.0%), and subdural hematoma (6.8%). Mortality rate was 5.6%.

CONCLUSION: Head injuries were found to be a commonly occurring trauma along with extremity injuries. This knowledge is important for determining the demands for neurosurgery and for adequately managing patients, especially in resource-limited conditions.

Language: en

LA - en SN - 1935-7893 UR - http://dx.doi.org/10.1017/dmp.2021.31 ID - ref1 ER -