Düşme Sonrası Kafa Travması Geçiren Bebeklerde Hastaneye Yatış Oranları ve Radyolojik Bulgular

Year 2023, Volume: 8 Issue: 2, 266 - 271, 06.06.2023

Abdullah Şükün Canver Önal

https://doi.org/10.26453/otjhs.1272341

Abstract

Amaç: Bu çalışmada, düşme sonucu kafa travması geçiren bebeklerde radyasyona maruz kalma endişesi nedeniyle bilgisayarlı tomografi (BT) taraması yapılmasının gerekliliğinin hastaneye yatış oranları değerlendirilerek belirlenmesi amaçlanmıştır.
Materyal ve Metot: Bu çalışmaya 2018-2022 yılları arasında acil serviste pediatrik düşme nedeniyle kraniyal BT çekilen 1060 hasta dahil edildi. İki hasta tedavi reddi nedeniyle dışlandı. BT taramalarında kafatası kırıkları ve özellikleri ve ilişkili cilt bulguları ve intrakraniyal kanama, hastaların demografik özellikleri (yaş ve cinsiyet) ve tıbbi öyküleri, hastaneye yatış oranları araştırıldı.
Bulgular: İkinci basamak merkezinin acil servisine başvuran 1058 kafa travmalı hastadan sadece 28'inde kırık tespit edildi. Bu hastaların %1,8'i yatarak tedavi edildi. Kırığı olan hastaların sırasıyla %10,7'sinde (n=3) subdural hematom ve %7,1'inde (n=2) epidural hematom tespit edilmiştir. Ayrıca, travma başvurularının sırasıyla %0,3'ünde ve %0,2'sinde subdural hematom ve epidural hematom tespit edildi.
Sonuç: Sonuç olarak, incelenen hastalarda pozitif BT bulguları ve hastaneye yatış gerektiren hasta oranının düşüklüğü göze çarpmaktadır. Bu nedenle 0-2 yaş arasında tomografi istenirken dikkatli olunmalıdır.

Keywords

Bebek, BT görüntüleme, hastaneye yatış oranları, kafatası kırığı, kafa travması

Hospitalization rates and radiological findings in infants with head trauma after a fall

Abstract

Objective: The study aimed to determine the necessity of performing computed tomography (CT) scans in infants with head trauma because of falls because of concerns regarding radiation exposure by evaluating the hospitalisation rates.
Materials and Methods: The present study included 1060 patients who underwent cranial CT in the emergency department owing to a pediatric fall between 2018 and 2022. Two patients were excluded due to treatment refusal. Skull fractures, their characteristics, associated skin findings, and intracranial hemorrhage on CT scans and patients’ demographic features (age & sex), medical history, and hospitalisation rates were investigated.
Results: Of the 1058 patients with head trauma who presented to the emergency department in the secondary care centre, fractures were detected in only 28 patients. Of these patients, 1.8% were treated as inpatients. Subdural hematomas and epidural hematomas were detected in 10.7% (n=3) and 7.1% (n=2) of patients with fractures, respectively. Furthermore, subdural hematomas and epidural hematomas were detected in 0.3% and 0.2% of trauma admissions, respectively.
Conclusions: In conclusion, positive CT findings and a low percentage of patients requiring hospitalisation stand out in the patients examined. Therefore, care should be taken when requesting tomography between the ages of 0-2.

Keywords

skull fracture, infant, head trauma, hospitalization rates

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