Cargando…
Clinical Factors Predictive for Intracranial Hemorrhage in Mild Head Injury
Patients with mild head injuries, a GCS of 13–15, are at risk for intracranial hemorrhage. Clinical decision is needed to weigh between risks of intracranial hemorrhage and costs of the CT scan of the brain particularly those who are equivocal. This study aimed to find predictors for intracranial he...
Autores principales: | , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi
2017
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5735672/ https://www.ncbi.nlm.nih.gov/pubmed/29359046 http://dx.doi.org/10.1155/2017/5385613 |
_version_ | 1783287257920176128 |
---|---|
author | Yuksen, Chaiyaporn Sittichanbuncha, Yuwares Patumanond, Jayanton Muengtaweepongsa, Sombat Aramvanitch, Kasamon Supamas, Amornrat Sawanyawisuth, Kittisak |
author_facet | Yuksen, Chaiyaporn Sittichanbuncha, Yuwares Patumanond, Jayanton Muengtaweepongsa, Sombat Aramvanitch, Kasamon Supamas, Amornrat Sawanyawisuth, Kittisak |
author_sort | Yuksen, Chaiyaporn |
collection | PubMed |
description | Patients with mild head injuries, a GCS of 13–15, are at risk for intracranial hemorrhage. Clinical decision is needed to weigh between risks of intracranial hemorrhage and costs of the CT scan of the brain particularly those who are equivocal. This study aimed to find predictors for intracranial hemorrhage in patients with mild head injuries with a moderate risk of intracranial hemorrhage. We defined moderate risk of mild head injury as a GCS score of 13–15 accompanied by at least one symptom such as headache, vomiting, or amnesia or with alcohol intoxication. There were 153 patients who met the study criteria. Eighteen of the patients (11.76%) had intracranial hemorrhage. There were four independent factors associated with intracranial hemorrhage: history of hypertension, headache, loss of consciousness, and baseline GCS. The sensitivity for the presence of intracranial hemorrhage was 100% with the cutoff point for the GCS of 13. In conclusion, the independent factors associated with intracranial hemorrhage in patients with mild head injury who were determined to be at moderate risk for the condition included history of hypertension, headache, loss of consciousness, and baseline GCS score. |
format | Online Article Text |
id | pubmed-5735672 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Hindawi |
record_format | MEDLINE/PubMed |
spelling | pubmed-57356722018-01-22 Clinical Factors Predictive for Intracranial Hemorrhage in Mild Head Injury Yuksen, Chaiyaporn Sittichanbuncha, Yuwares Patumanond, Jayanton Muengtaweepongsa, Sombat Aramvanitch, Kasamon Supamas, Amornrat Sawanyawisuth, Kittisak Neurol Res Int Research Article Patients with mild head injuries, a GCS of 13–15, are at risk for intracranial hemorrhage. Clinical decision is needed to weigh between risks of intracranial hemorrhage and costs of the CT scan of the brain particularly those who are equivocal. This study aimed to find predictors for intracranial hemorrhage in patients with mild head injuries with a moderate risk of intracranial hemorrhage. We defined moderate risk of mild head injury as a GCS score of 13–15 accompanied by at least one symptom such as headache, vomiting, or amnesia or with alcohol intoxication. There were 153 patients who met the study criteria. Eighteen of the patients (11.76%) had intracranial hemorrhage. There were four independent factors associated with intracranial hemorrhage: history of hypertension, headache, loss of consciousness, and baseline GCS. The sensitivity for the presence of intracranial hemorrhage was 100% with the cutoff point for the GCS of 13. In conclusion, the independent factors associated with intracranial hemorrhage in patients with mild head injury who were determined to be at moderate risk for the condition included history of hypertension, headache, loss of consciousness, and baseline GCS score. Hindawi 2017 2017-11-20 /pmc/articles/PMC5735672/ /pubmed/29359046 http://dx.doi.org/10.1155/2017/5385613 Text en Copyright © 2017 Chaiyaporn Yuksen et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Article Yuksen, Chaiyaporn Sittichanbuncha, Yuwares Patumanond, Jayanton Muengtaweepongsa, Sombat Aramvanitch, Kasamon Supamas, Amornrat Sawanyawisuth, Kittisak Clinical Factors Predictive for Intracranial Hemorrhage in Mild Head Injury |
title | Clinical Factors Predictive for Intracranial Hemorrhage in Mild Head Injury |
title_full | Clinical Factors Predictive for Intracranial Hemorrhage in Mild Head Injury |
title_fullStr | Clinical Factors Predictive for Intracranial Hemorrhage in Mild Head Injury |
title_full_unstemmed | Clinical Factors Predictive for Intracranial Hemorrhage in Mild Head Injury |
title_short | Clinical Factors Predictive for Intracranial Hemorrhage in Mild Head Injury |
title_sort | clinical factors predictive for intracranial hemorrhage in mild head injury |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5735672/ https://www.ncbi.nlm.nih.gov/pubmed/29359046 http://dx.doi.org/10.1155/2017/5385613 |
work_keys_str_mv | AT yuksenchaiyaporn clinicalfactorspredictiveforintracranialhemorrhageinmildheadinjury AT sittichanbunchayuwares clinicalfactorspredictiveforintracranialhemorrhageinmildheadinjury AT patumanondjayanton clinicalfactorspredictiveforintracranialhemorrhageinmildheadinjury AT muengtaweepongsasombat clinicalfactorspredictiveforintracranialhemorrhageinmildheadinjury AT aramvanitchkasamon clinicalfactorspredictiveforintracranialhemorrhageinmildheadinjury AT supamasamornrat clinicalfactorspredictiveforintracranialhemorrhageinmildheadinjury AT sawanyawisuthkittisak clinicalfactorspredictiveforintracranialhemorrhageinmildheadinjury |