Mehdi Torabi; Zahra-Sadat Amiri; Moghaddameh Mirzaee
Volume 11, Issue 2 , April 2023, , Pages 83-89
Abstract
Objective: This study aimed to investigate blood glucose levels in patients with brain injury caused by mildtraumatic brain injury (TBI) as a foundation for determining whether these patients need a brain CT scan ornot.Methods: This cross-sectional study was conducted on patients with mild TBI, who were ...
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Objective: This study aimed to investigate blood glucose levels in patients with brain injury caused by mildtraumatic brain injury (TBI) as a foundation for determining whether these patients need a brain CT scan ornot.Methods: This cross-sectional study was conducted on patients with mild TBI, who were referred to theemergency department from March 1, 2022, to September 1, 2022. After the confirmation of mild TBI by anemergency medicine specialist, blood samples were taken from the patients to measure blood glucose levels.Then a brain CT scan was performed, and blood glucose levels were compared between patients with andwithout CT indications of brain injury. A checklist was used to collect data, and the data were analyzed usingSPSS software (version 23).Results: In the CT scans of the 157 patients included in the study, 30 patients (19.2%) had a brain injury inthe CT scan. The mean blood glucose level was significantly higher in patients with brain injury, especially inthe presence of vertigo and ataxia, than patients without brain injury in the CT scan (p<0.0001). There was asignificant positive correlation between age and blood glucose level (r=0.315, p<0.0001).Conclusion: Patients with mild TBI who had signs of brain injury in the CT scan had significantly higher bloodglucose levels than patients with normal CT scan findings. Although indications for performing a brain CTscan are usually based on clinical criteria, blood glucose levels can be helpful in determining the requirementfor a brain CT scan in patients with mild TBI.
Mohamadreza Saatian; Jamal Ahmadpoor; Younes Mohammadi; Ehsan Mazloumi
Volume 6, Issue 1 , January 2018, , Pages 45-53
Abstract
Objective: To determine the epidemiological aspects of patients with traumatic brain injury (TBI) in a regional trauma center.Methods: A cross-sectional study was conducted on patients with TBI during 2013 to 2016 in a single center in Hamedan, central Iran. The distribution and relationships of TBI ...
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Objective: To determine the epidemiological aspects of patients with traumatic brain injury (TBI) in a regional trauma center.Methods: A cross-sectional study was conducted on patients with TBI during 2013 to 2016 in a single center in Hamedan, central Iran. The distribution and relationships of TBI was assessed with gender, age, type of trauma, traumatic cause, exiting status and Length of Hospitalization (LOH). Data were analyzed by Stata V11 statistical software.Results: In general, 9426 patients with TBI were enrolled in analyses. The mean ± SD age of patients was 29.70 (± 21.46) years. Multivariate logistic regression indicated that being male [OR: 1.29; 95% CI (2.92-4.73), P ≤0.001], 41-50 to 71-80 and 90+ years old' age groups (1.32<OR<3.12, 0.029<p≤0.001), having surgery [OR: 5.58; 95% CI (4.89-6.37), p≤0.001], and different types of trauma (p≤0.001) were significantly related to LOH. Moreover, odds ratio of mortality was 1.52 times greater in males than females (p≤0.001). As the age increases, the odds ratio of mortality was also rising. However, having surgery [OR: 3.72; 95% CI (2.92-4.73), p≤0.001], LOH >5 days [OR: 2.01; 95% CI (1.60-2.52), p≤0.001] and different types of trauma were significantly related to mortality.Conclusion: TBI is one of the main causes of mortality and LOH of the young population. By providing preventive measures and a traumatic care system, the burden of trauma can be greatly reduced, the implementation of the trauma care system in Hamedan province is a necessity.
Willen Guillermo Calderon-Miranda; Hernando Raphael Alvis-Miranda; Andres M. Rubiano; Luis Rafael Moscote-Salazar
Volume 2, Issue 2 , April 2014, , Pages 96-98
Abstract
Traumatic brain injury is a common entity. However cerebral infarction in infants is a rare entity while the diagnosis of this pathology in the pediatric population is usually difficult. The mild head trauma is rarely accompanied by intracranial injury and even less, with cerebral infarction. We herein ...
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Traumatic brain injury is a common entity. However cerebral infarction in infants is a rare entity while the diagnosis of this pathology in the pediatric population is usually difficult. The mild head trauma is rarely accompanied by intracranial injury and even less, with cerebral infarction. We herein report the first case of cerebral infarction after a mild brain trauma in a 2-year-old Latin-American male patient, in which brain computed tomography (CT) scan was performed on the first day of the accident, showed right hemispheric cerebral ischemia compromising the fronto-parieto-occipital region. Conservative management was established. The patient died at day 5. So Brain CT scan may be beneficial to reveal any hemispheric infarction due to a probable mass effect.
Zahra Ghahramani; Anahita Mehrpour; Leila Shayan
Volume 1, Issue 4 , October 2013, , Pages 139-140
