%0 Journal Article
%T Evaluation Of Effectiveness of Canadian Computerized Head Rules In Cases With Blunt Head Trauma In Emergency Service
%A Hilmi GŁżnen
%J -
%D 2018
%X Introduction and Purpose: Traumatic brain injury is the death cause of approximately 90% of pre-hospital trauma-related deaths. Glasgow Coma Score is the most common scoring system used to determine traumatic brain injury. Classification of head trauma with reference to GCS has been divided into three groups, mild middle and high. A multi-center study of patients with mild head trauma by Stiell et al. established a clinical scoring system to avoid unnecessary computerized tomography. In our study, according to this scoring system, an analysis of the need for operation and the effect of the change in patient management is made in patients with and without brain tomography indications. Material and Method: All patients, presenting with blunt head trauma to the emergency room of Okmeydani Training and Research Hospital between 20.09.2017 and 05.10.2017, and who had brain computed tomography scans were included in this study. The patients presenting with blunt head trauma to the emergency room were examined by the neurosurgery department. Patients, who were requested to have brain computed tomography scans without any guidance, were informed about this study by the Emergency Medicine Resident after the scan and were divided into two groups, one with indications and one without indications in terms of the clinical scoring system, and analyzes were done separately for both groups. SPSS 22.0 program was used for these analyses. Results: 69.9% (137) of 196 patients were sent for brain computed tomography under proper conditions, 30.1% (59) of the patients were sent for brain computed tomography under improper conditions. 11 (%5,6) of patients were under 18 aged and 15 (%7.7) of patients were 65 years and older. No significant findings or pathologies were observed in brain computed tomography scans of any patients participating in this study. all patients were discharged with recommendations without any further monitoring or supervision. Conclusion: The majority of patients presenting with mild traumatic brain injury were young males. Many of these brain computed tomography scans were performed without considering the Canadian Computed Tomography Rules. The functionality of Canadian Computed Tomography Rules could not be predicted
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%U http://dergipark.org.tr/jamer/issue/40827/409520