Journal Title: زمستان 93
Article title: Prevalence and Consequences of Various Types of Traumatic Brain Hemorrhage in Patients Referred to Besat Hospital in Hamedan during 2012-2013

Article PDF File:
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Article abstract:
Introduction & Objective: Brain trauma is a threat to the health of communities and 9% of all deaths throughout the world are caused by this type of injury. The purpose of this study was to determine the frequency of traumatic brain hemorrhage and factors influencing the consequences of the treatment of these patients. Materials & Methods: In a retrospective study, 640 patients’ records referred to Besat Hospital in Hamedan during 2012-2013, who had the evidence of hemorrhage during the first 6 hours after trauma in their CT scan, was investigated by census sampling method. In the case of patients who had died in the hospital, hemorrhage was specified, but to determine the result of 6 months of hemorrhage in patients who were alive at the time of discharge from the hospital, telephone interviews were done with patients or their families and GOS (Glasgow Outcome Score) were specified. Data were entered into the SPSS software, version 18, and they were analyzed using descriptive statistics and chi-square test. The significant level of tests was less than 0.05. Results: The average age of men and women was 20.88 ± 38.42 and 24.27 ± 43.59 years, respectively. 100 persons (71.41%) of the patients were male. In 413 patients (64.53%) there was isolated hemorrhage. Subarachnoid hemorrhage formed most cases of hemorrhage with 261 cases (40.78%). The frequency of all traumatic brain hemorrhage, either isolated or combined, was more in men than women (P ≥ 0.01). The frequency of all traumatic brain hemorrhages for the age group of 16 to 30 years were more likely than other age groups (207 to 32/34%) (P ≥ 0.001). GCS on the admission of 287 cases of patients (44.8%) were 14 or 15 and in 223 cases of patients (34.8%) were 3 to 8. Consequences of cerebral hemorrhage in 228 patients (35.6%) of patients was death or stable vegetative state (GOS: 1-2). In 86 patients (13.4%), there was severe disability (GOS: 3). Among the isolated hemorrhages, 125 patients (88.65%) had epidural hemorrhage, 47 patients (38.84%) had subdural hematoma, 52 patients (54.74%) had subarachnoid hemorrhage, and 38 patients (67.86%) had intraventricular hemorrhage. Intracranial hemorrhage were improved or had a moderate disability (GOS: 4-5). Glasgow outcome scale in 64 patients (28.19%) who had a combination hemorrhage was, 4 or 5 (P ≥ 0.001). Conclusions: According to the obtained results, traumatic brain hemorrhage is more common in young and subarachnoid hemorrhage is the most common type of traumatic brain hemorrhage which is observed alone or in combination with other hemorrhages and epidural hematoma is the most common among isolated hemorrhages. The type of traumatic brain hemorrhage has correlation with age, gender, type of trauma and initial GCS and the type of trauma is related to age and gender. Age, GCS on admission, type of trauma and hemorrhage type are effective on the consequences of traumatic brain hemorrhage, but the consequences are not related to gender.
Article KeyWords:
Trauma, Brain Hemorrhage, Outcome
Article Authors:

	دکتر مشهود آقاجانلو	First Author
	دکتر محمد باقری	Other Author	dr_bagheri@Yahoo.com