Türk Nöroşirürji Dergisi 2013 , Vol 23 , Num 1
Research of Epidemyological and Prognostic Factors on Cranial Fractures Depends Trauma
Müjdat ŞİMŞEK1, Mustafa KAYA2, Tufan HİÇDÖNMEZ2, Hikmet Turan SÜSLÜ2, Yusuf Emrah GERGİN2
1Dr. Lütfi Kırdar Kartal Eğitim Araştırma Hastanesi, Acil Tıp Bölümü, İstanbul, Türkiye
2Dr. Lütfi Kırdar Kartal Eğitim Araştırma Hastanesi, Nöroşirürji Kliniği, İstanbul, Türkiye
AIM: In the present study, it was aimed to identify epidemiological data of the cases with skull fracture due to head trauma and factors those affect prognosis.

MATERIAL and METHODS: Electronic records and charts of 152 patients, who presented to Emergency Department with trauma and were diagnosed as skull fracture were retrospectively evaluated.

RESULTS: There were 112 children, aged between 0 and 16 years, and 40 adults. There was traumatic brain injury in 17% of children and in 70% of adults. Among the most common concurrent injuries, facial bone fractures were found in 25% and 23.2% of adults and children, respectively. Linear fracture was the most common skull fracture both in children and adults.Trauma severity was distrubited as mild head trauma in 92.9% of the children, whereas moderate head trauma in 4.5% and severe head trauma in 1.8% of the children.

CONCLUSION: A statistically significant prognostic relationship was found between GOS score and concurrent injuries, scalp swelling, traumatic brain injury, Glasgow Coma Scale score or Child’s Glasgow Coma Scale score at presentation, age or neurologic deficit. There was no significant prognostic relationship between GOS and sex, fracture type, nausea or vomiting. Anahtar Kelimeler : Emergency, Epidemiology, Head trauma, Skull fracture, Prognosis