Clinical assessment of head injuries in motorcyclists involved in traffic accidents: A prospective, observational study

Detalhes bibliográficos
Autor(a) principal: BELOW,CRISTIANO
Data de Publicação: 2022
Outros Autores: 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
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.
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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
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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
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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)
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