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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.issued2017en_US
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-2016-000632en_US
dc.identifier.issn0035-8665
dc.identifier.issn2052-0468
dc.identifier.urihttps://dx.doi.org/10.1136/jramc-2016-000632
dc.identifier.urihttps://hdl.handle.net/20.500.12511/3331
dc.descriptionWOS: 000402863800013en_US
dc.descriptionPubMed ID: 27903839en_US
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.en_US
dc.language.isoengen_US
dc.publisherBmj Publishing Groupen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectBrain Tomographyen_US
dc.subjectMortalityen_US
dc.subjectSniper Shot Head Injuriesen_US
dc.titleThe effect of brain tomography findings on mortality in sniper shot head injuriesen_US
dc.typearticleen_US
dc.relation.journalJournal of the Royal Army Medical Corpsen_US
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Acil Tıp Ana Bilim Dalıen_US
dc.identifier.volume163en_US
dc.identifier.issue3en_US
dc.identifier.startpage211en_US
dc.identifier.endpage214en_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.identifier.doi10.1136/jramc-2016-000632en_US


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