Correlation between the Glasgow Coma Scale and cranial computed tomography imaging findings in the patients with mild head injury at Phatthalung hospital

Authors

  • ศิริวรรณ เต็มราม Suratthani Hospital

Keywords:

Mild head injury, cranial CT scan, Glasgow coma scale

Abstract

              Objective : To assess the correlation between the Glasgow Coma Scale (GCS) and cranial computed tomography (CT) imaging findings in the patients with mild head injury.
              Method : A retrospective study was performed in 240 patients with mild head injury who were estimated the outcomes of head injury by Glasgow Coma Scale (13-15) and submitted to cranial computed tomographyat first 24 hours post trauma in Phatthalung hospital.
              Result : The overall male to female ratio was 1.5:1. The range of the most common age is11-20 years. The most common causes were motorcycle accident (51.3%) and fall (27.9%). Abnormal CT findings were seen in 68 patients (28.3%), and were seen in the patients with GCS 13 = 62.5%, 14 = 39.3% and 15 = 25.5%. The most common abnormal intracranial CT findings were subdural hematoma (8.3%) and hemorrhagic contusion (7.9%).The most common related symptom with abnormal CT findings were posttraumatic amnesia (31.1%) and headache (31.0%).
              Conclusion : Low Glasgow Coma Scales were considered as a severity risk factor in association with greater number of abnormal CT finding.

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References

1. สวิง ปันจัยสีห์, นครชัย เผื่อนปฐม, กุลพัฒน์ วีรสาร. (บรรณาธิการ). (2556). แนวทางเวชปฏิบัติกรณีสมองบาดเจ็บ (Clinical Practice Guidelines for Traumatic Brain Injury). กรุงเทพฯ: บริษัท ธนาเพรส. จาตุรงค์ เทพาหุดี, นครชัย เผื่อนปฐม. บาดเจ็บที่ศีรษะในโรงพยาบาลสงขลานครินทร์ ยุคปัจจุบัน. สงขลานครินทร์เวชสาร 2542; 17(2): 109-15.

2. Bordignon KC, Arruda WO. CT scan findings in mild head trauma a series of 2000 Patients. ArqNeuropsiquiatr 2002; 60(2-A): 204-210

3. GhebrehiwetM, QuanLH, Andebirhan T. The profile of CT scan findings in acute head trauma in Orotta Hospital, Asmara, Eritrea. Journal of Eritrean Medical Association 2009; 4(1): 5-8

4. Miller EC, Holmes Jf, Derlet RW. Utilizing clinical factors to reduce head CT scan ordering for minor head trauma patients. The Journal of emergency
medicine. 1997;15(4): 453-7.

5. Cemil K, Gokhan A, Omer S, M Serkan Y, Ali D, Gulsüm K. Comparison of the Canadian CT head rule and the new orleans criteria in patients with minor head injury. World Journal of Emergency Surgery 2014, 9:31

6. Smits M,Dippel DW,Haan GG, Dekker HM, Vos PE, Kool DR, et al. Minor head injury:guidelinesfor CT –a multicenter validation study. RSNA.
2007;245:831-8.

7. TomarSS, WhargavaA, Reddy N,Significance of computed tomography scans in head injury. Open Journal of Clinical Diagnostics 2013; 3: 109-114.

8. Morgado FL, Rossi LA. Correlation between the Glasgow Coma Scale and computed tomography imaging findings in patients with traumatic brain injury. Radiol Bras. 2011; 44(1):35–41.

9. Nayebaghayee H, AfsharianT. Correlation between Glasgow Coma Scale and brain computed tomography- scan findings in head trauma patients. Asian J Neurosurg. 2016; 11(1): 46–49.

10. Farshchian N, Farshchian F, Rezaei M. Correlation between Glasgow coma scale and brain CT-scan findings in traumatic patients. J Inj Violence Res.
2012; 4(1): 44.

Published

2016-12-01

How to Cite

เต็มราม ศ. (2016). Correlation between the Glasgow Coma Scale and cranial computed tomography imaging findings in the patients with mild head injury at Phatthalung hospital. Region 11 Medical Journal, 30(4), 277–282. Retrieved from https://he02.tci-thaijo.org/index.php/Reg11MedJ/article/view/179444

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Original articles