Head injuries managed in University Hospital of Rijeka

Uvod: Traumatske ozljede glave i mozga predstavljaju važan javnozdravstveni i socioekonomski problem. Traumatsku ozljedu mozga nazivamo tihom epidemijom zbog stalnog rasta incidencije i kolektivnog socijalnog podcjenjivanja njezinog značaja. Svrha rada: Napraviti dobnu i spolnu raspodijelu, odrediti frekvenciju pojedinih ozljeda, utvrditi najčešće mehanizme ozljeda i potrebu za neurokirurškom operacijom. Ispitanici i postupci: 92 pacijenta hospitalizirana na Klinici za neurokirurgiju Kliničkog bolničkog centra Rijeka zbog traumatske ozljede glave i mozga u lipnju, rujnu i prosincu 2017. Analizirana je medicinska dokumentacija koja sadrži podatke o spolu, dobi, vremenu i mehanizmu ozljeđivanja, lokalizaciji traume, sve dijagnoze i potrebu za operacijskim liječenjem. Rezultati: Najviše pacijenata s traumom glave i mozga nalazi se u dobnoj kategoriji starijoj od 65 godina. Značajno više muškaraca zadobiva traumu glave i mozga. Najčešći mehanizam ozljede je pad. Prometne nezgode učestalije su u lipnju i rujnu, a rjeđe u prosincu. Subduralni hematom najčešća je neurokirurška dijagnoza. Operacijski zahvat terapija je izbora u oko 25% slučajeva traumatskih ozljeda glave i mozga. Zaključak: Kraniocerebralne ozljede jedan su od vodećih uzroka mortaliteta i invalidnosti u svijetu. Podizanje kolektivne svijesti o važnosti prevencije bitan je korak u borbi protiv ozljeda glave i mozga.Introduction: Traumatic head and brain injuries are important public-health and socioeconomic problem. Traumatic brain injury is called a silent epidemic due to the constant growth of incidence and collective social underestimation of its importance. Purpose: To make age and sex distribution, to determine the frequency of individual injuries, to determine the most common injury mechanisms and the need for neurosurgical operation. Subjects and procedures: 92 patients were hospitalized at Neurosurgery Clinic of University Hospital of Rijeka for traumatic head and brain injuries in June, September and December 2017. Medical records were analyzed containing information on sex, age, time and injury mechanisms, trauma localization, all diagnoses and the need for surgical treatment. Results: Most patients with head and brain trauma were in the age range of 65 years or more. Significantly more men get trauma of the head and brain. The most common injury mechanism is fall. Traffic accidents are more frequent in June and September and less frequent in December. Subdural hematoma is the most common neurosurgical diagnosis. Operative therapy is a choice in about 25% cases of traumatic head and brain injuries. Conclusion: Craniocerebral injuries are one of the leading causes of mortality and disability in the world. Raising collective awareness of the importance of prevention is an important step in the fight against head and brain injuries