Clinical assessment of head injuries in motorcyclists involved in traffic accidents: A prospective, observational study
Autor(a) principal: | |
---|---|
Data de Publicação: | 2022 |
Outros Autores: | , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista do Colégio Brasileiro de Cirurgiões |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912022000100223 |
Resumo: | ABSTRACT Objective: to review the clinical assessment of head injuries in motorcyclists involved in traffic accidents. Method: prospective observational study, including adult motorcyclists involved in traffic accidents in a period of 12 months. Patients sustaining signs of intoxication were excluded. A modification of the Canadian Head CT Rules was used to indicate computed tomography (CT). Patients not undergoing CT were followed by phone calls for three months. Collected variables were compared between the group sustaining head injuries and the others. We used chi-square, Fisher, and Student’s t for statistical analysis, considering p<0.05 as significant. Results: we included 208 patients, 99.0% were wearing helmets. Seventeen sustained signs of intoxication and were excluded. Ninety (47.1%) underwent CT and 12 (6.3%) sustained head injuries. Head injuries were significantly associated with Glasgow Coma Scale<15 (52.3% vs. 2.8% - p<0,001) and a positive physical exam (17.1% vs. zero - p<0,05). Four (2.1%) patients with intracranial mass lesions needed surgical interventions. None helmet-wearing patients admitted with GCS=15 and normal physical examination sustained head injuries. Conclusion: Head CT is not necessary for helmet-wearing motorcyclists admitted with GCS=15 and normal physical examination. |
id |
CBC-1_e23707ce7da95bee1522a81f6317511e |
---|---|
oai_identifier_str |
oai:scielo:S0100-69912022000100223 |
network_acronym_str |
CBC-1 |
network_name_str |
Revista do Colégio Brasileiro de Cirurgiões |
repository_id_str |
|
spelling |
Clinical assessment of head injuries in motorcyclists involved in traffic accidents: A prospective, observational studyCraniocerebral TraumaAccidents, TrafficTomographyQuality Assurance, Health CareABSTRACT Objective: to review the clinical assessment of head injuries in motorcyclists involved in traffic accidents. Method: prospective observational study, including adult motorcyclists involved in traffic accidents in a period of 12 months. Patients sustaining signs of intoxication were excluded. A modification of the Canadian Head CT Rules was used to indicate computed tomography (CT). Patients not undergoing CT were followed by phone calls for three months. Collected variables were compared between the group sustaining head injuries and the others. We used chi-square, Fisher, and Student’s t for statistical analysis, considering p<0.05 as significant. Results: we included 208 patients, 99.0% were wearing helmets. Seventeen sustained signs of intoxication and were excluded. Ninety (47.1%) underwent CT and 12 (6.3%) sustained head injuries. Head injuries were significantly associated with Glasgow Coma Scale<15 (52.3% vs. 2.8% - p<0,001) and a positive physical exam (17.1% vs. zero - p<0,05). Four (2.1%) patients with intracranial mass lesions needed surgical interventions. None helmet-wearing patients admitted with GCS=15 and normal physical examination sustained head injuries. Conclusion: Head CT is not necessary for helmet-wearing motorcyclists admitted with GCS=15 and normal physical examination.Colégio Brasileiro de Cirurgiões2022-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912022000100223Revista do Colégio Brasileiro de Cirurgiões v.49 2022reponame:Revista do Colégio Brasileiro de Cirurgiõesinstname:Colégio Brasileiro de Cirurgiões (CBC)instacron:CBC10.1590/0100-6991e-20223340-eninfo:eu-repo/semantics/openAccessBELOW,CRISTIANOBRIANTI,ISABELA CAMPOSPARREIRA,JOSÉ GUSTAVOLUCARELLI-ANTUNES,PEDRO DE SOUZASAADE,NELSONGOLIN,MURILOPIVETTA,LUCA GIOVANNI ANTONIOVEIGA,JOSÉ CARLOS ESTEVESASSEF,JOSE CESAReng2022-07-21T00:00:00Zoai:scielo:S0100-69912022000100223Revistahttp://www.scielo.br/rcbcONGhttps://old.scielo.br/oai/scielo-oai.php||revistacbc@cbc.org.br1809-45460100-6991opendoar:2022-07-21T00:00Revista do Colégio Brasileiro de Cirurgiões - Colégio Brasileiro de Cirurgiões (CBC)false |
dc.title.none.fl_str_mv |
Clinical assessment of head injuries in motorcyclists involved in traffic accidents: A prospective, observational study |
title |
Clinical assessment of head injuries in motorcyclists involved in traffic accidents: A prospective, observational study |
spellingShingle |
Clinical assessment of head injuries in motorcyclists involved in traffic accidents: A prospective, observational study BELOW,CRISTIANO Craniocerebral Trauma Accidents, Traffic Tomography Quality Assurance, Health Care |
title_short |
Clinical assessment of head injuries in motorcyclists involved in traffic accidents: A prospective, observational study |
title_full |
Clinical assessment of head injuries in motorcyclists involved in traffic accidents: A prospective, observational study |
title_fullStr |
Clinical assessment of head injuries in motorcyclists involved in traffic accidents: A prospective, observational study |
title_full_unstemmed |
Clinical assessment of head injuries in motorcyclists involved in traffic accidents: A prospective, observational study |
title_sort |
Clinical assessment of head injuries in motorcyclists involved in traffic accidents: A prospective, observational study |
author |
BELOW,CRISTIANO |
author_facet |
BELOW,CRISTIANO BRIANTI,ISABELA CAMPOS PARREIRA,JOSÉ GUSTAVO LUCARELLI-ANTUNES,PEDRO DE SOUZA SAADE,NELSON GOLIN,MURILO PIVETTA,LUCA GIOVANNI ANTONIO VEIGA,JOSÉ CARLOS ESTEVES ASSEF,JOSE CESAR |
author_role |
author |
author2 |
BRIANTI,ISABELA CAMPOS PARREIRA,JOSÉ GUSTAVO LUCARELLI-ANTUNES,PEDRO DE SOUZA SAADE,NELSON GOLIN,MURILO PIVETTA,LUCA GIOVANNI ANTONIO VEIGA,JOSÉ CARLOS ESTEVES ASSEF,JOSE CESAR |
author2_role |
author author author author author author author author |
dc.contributor.author.fl_str_mv |
BELOW,CRISTIANO BRIANTI,ISABELA CAMPOS PARREIRA,JOSÉ GUSTAVO LUCARELLI-ANTUNES,PEDRO DE SOUZA SAADE,NELSON GOLIN,MURILO PIVETTA,LUCA GIOVANNI ANTONIO VEIGA,JOSÉ CARLOS ESTEVES ASSEF,JOSE CESAR |
dc.subject.por.fl_str_mv |
Craniocerebral Trauma Accidents, Traffic Tomography Quality Assurance, Health Care |
topic |
Craniocerebral Trauma Accidents, Traffic Tomography Quality Assurance, Health Care |
description |
ABSTRACT Objective: to review the clinical assessment of head injuries in motorcyclists involved in traffic accidents. Method: prospective observational study, including adult motorcyclists involved in traffic accidents in a period of 12 months. Patients sustaining signs of intoxication were excluded. A modification of the Canadian Head CT Rules was used to indicate computed tomography (CT). Patients not undergoing CT were followed by phone calls for three months. Collected variables were compared between the group sustaining head injuries and the others. We used chi-square, Fisher, and Student’s t for statistical analysis, considering p<0.05 as significant. Results: we included 208 patients, 99.0% were wearing helmets. Seventeen sustained signs of intoxication and were excluded. Ninety (47.1%) underwent CT and 12 (6.3%) sustained head injuries. Head injuries were significantly associated with Glasgow Coma Scale<15 (52.3% vs. 2.8% - p<0,001) and a positive physical exam (17.1% vs. zero - p<0,05). Four (2.1%) patients with intracranial mass lesions needed surgical interventions. None helmet-wearing patients admitted with GCS=15 and normal physical examination sustained head injuries. Conclusion: Head CT is not necessary for helmet-wearing motorcyclists admitted with GCS=15 and normal physical examination. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-01-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912022000100223 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912022000100223 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/0100-6991e-20223340-en |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Colégio Brasileiro de Cirurgiões |
publisher.none.fl_str_mv |
Colégio Brasileiro de Cirurgiões |
dc.source.none.fl_str_mv |
Revista do Colégio Brasileiro de Cirurgiões v.49 2022 reponame:Revista do Colégio Brasileiro de Cirurgiões instname:Colégio Brasileiro de Cirurgiões (CBC) instacron:CBC |
instname_str |
Colégio Brasileiro de Cirurgiões (CBC) |
instacron_str |
CBC |
institution |
CBC |
reponame_str |
Revista do Colégio Brasileiro de Cirurgiões |
collection |
Revista do Colégio Brasileiro de Cirurgiões |
repository.name.fl_str_mv |
Revista do Colégio Brasileiro de Cirurgiões - Colégio Brasileiro de Cirurgiões (CBC) |
repository.mail.fl_str_mv |
||revistacbc@cbc.org.br |
_version_ |
1754209215448088576 |