THE EPIDEMIOLOGY OF HEAD TRAUMA: DATA OF 1450 CASES

The 1450 head injury patients, which were hospitalized in Ankara Numune Hospital Neurosurgery Department between January 1990-June 1996 have been included in this study. The cases have been grouped in to three according to their ages; pediatrics (0-16 ages), adults (17-60 ages), elders (61 age and above). The 75% of the cases were male, and 25% were woman. Adults and pediatric groups compromised the 89.5% of all cases. The age range was 1 days-92 age. The commonest etiology of trauma were falling (54%) in children, traffic accidents in adults (61%) and elders (50%). Approximately 1/3 of the traumas were come true in summer. According to Glasgow coma scale (GCS), 66% of the cases in mild (GCS: 13-15), 16.5% were moderated (GCS: 9-12), and 17.5% were in severe (GCS: 3-8) trauma groups. According to Glasgow outcome scale (GOS) 71% of the cases were good recovered. The mortality rate was 15.7% and 62% of them were adults. The commonest reason of trauma in died cases was traffic accident (56.1%). In this study; the aim is to obtain statistical datas which are not actually enough to constitute the epidemiology of head trauma in country.

KAFA TRAVMALARININ EPÝDEMÝYOLOJÝSÝ: 1450 OLGUNUN VERÝLERÝ

Bu çalýþmaya Ankara Numune Hastanesi Beyin Cerrahi Kliniðinde Ocak 1990-Haziran 1996 yýllarý arasýnda yatýrýlarak tedavi edilen 1450 kafa travmalý hasta alýnmýþtýr. Hastalar çocuk (0-16 yaþ), eriþkin (17-60 yaþ) ve yaslý (61 ve üstü) olarak 3 yas grubuna ayrýlmýþtýr. Hastalarýn %75'i erkek, %25'i kadýn olup, %89.5'ini eriþkin ve çocuk yaþ grubu oluþturmuþtur. Yaþ aralýðý ise 1 gün-92 yaþ arasýndadýr. Çocuklarda düþme (%54), eriþkin (%61) ve yaþlýlarda (%50) trafik kazalarý, travmanýn en fazla nedenini oluþturmuþtur. Hastalarýn yaklaþýk 1/3'ü yaz aylarýnda travmaya uðramýþtýr. Glaskow koma skalasýna (GKS) göre hastalarýn %66'sý hafif (GKS: 13-15), %16.6'sý orta (GKS: 9-12), %17.5'i þiddetli (GKS: 3-8) travmaya maruz kalmýþtýr. Glasgow sonuç skalasýna (GSS) göre olgularýn %71'i tam iyileþme ile taburcu edilirken, %15.7'si ölümcül seyretmiþtir. Ölen hastalarýn %62'sini eriþkinler oluþturmuþ ve %56.1'ine trafik kazalarý neden olmuþtur. Bu çalýþmada ülkemizde kafa travmalarý konusunda epidemiyolojik açýdan yeterli olmayan istatistiksel veriler saptamak amaçlanmýþtýr.