The effect of brain tomography findings on mortality in sniper shot head injuries

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dc.contributor.authorCan, Çağdaş
dc.contributor.authorBolatkale, Mustafa
dc.contributor.authorSarıhan, Aydın
dc.contributor.authorSavran, Yusuf
dc.contributor.authorAcara, Ahmet Çağdaş
dc.contributor.authorBulut, Mehtap
dc.date.accessioned10.07.201910:49:13
dc.date.accessioned2019-07-10T20:01:32Z
dc.date.available10.07.201910:49:13
dc.date.available2019-07-10T20:01:32Z
dc.date.issued2017
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Acil Tıp Ana Bilim Dalı
dc.descriptionWOS: 000402863800013
dc.descriptionPubMed ID: 27903839
dc.description.abstractObjectives Penetrating gunshot head injuries have a poor prognosis and require prompt care. Brain CT is a routine component of the standard evaluation of head wounds and suspected brain injury. We aimed to investigate the effect of brain CT findings on mortality in gunshot head injury patients who were admitted to our emergency department (ED) from the Syrian Civil War. Methods The study group comprised patients who were admitted to the ED with gunshot brain injury. Patients' GCS scores, prehospital intubations and brain CT findings were examined. Results 104 patients were included (92% male, mean age 25 years). Pneumocephalus, midline shift, penetrating head injury, patients with GCS scores <= 6 and patients who had to be intubated in the prehospital period were associated with higher mortality (p < 0.05). Discussion The results of this study demonstrated that pneumocephalus, midline shift, a penetrating head injury, GCS scores <= 6 and prehospital intubation are associated with high mortality, whereas patients with temporal bone fracture, perforating or single cerebral lobe head injury had a higher survival rates. The temporal bone has a relatively thin and smooth shape compared with the other skull bones so a bullet is less fragmented when it has penetrated the temporal bone, which could be a reason for the reduced cavitation effect. In perforating head injury, the bullet makes a second hole and so will have deposited less energy than a retained bullet with a consequent reduction in intracranial injury and mortality. Further studies are required to reach definitive conclusions.
dc.identifier.citationCan, Ç., Bolatkale, M., Sarıhan, A., Savran, Y., Acara, A. Ç. ve Bulut, M. (2017). The effect of brain tomography findings on mortality in sniper shot head injuries. Journal of the Royal Army Medical Corps, 163(3), 211-214. https://dx.doi.org/10.1136/jramc-2016-000632
dc.identifier.doi10.1136/jramc-2016-000632
dc.identifier.endpage214
dc.identifier.issn0035-8665
dc.identifier.issn2052-0468
dc.identifier.issue3
dc.identifier.scopusqualityQ3
dc.identifier.startpage211
dc.identifier.urihttps://dx.doi.org/10.1136/jramc-2016-000632
dc.identifier.urihttps://hdl.handle.net/20.500.12511/3331
dc.identifier.volume163
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherBmj Publishing Group
dc.relation.ispartofJournal of the Royal Army Medical Corpsen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectBrain Tomography
dc.subjectMortality
dc.subjectSniper Shot Head Injuries
dc.titleThe effect of brain tomography findings on mortality in sniper shot head injuries
dc.typeArticle

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