Abstract：
BACKGROUND:Consistent data on head injury is lacking especially in the low- and middle-income countries. Our study tries to characterize patients with head injury at the emergency department of one of the few tertiary public hospitals giving neurosurgical care in the country. METHODS:A retrospective cross-sectional study was performed from May 2015 to October 2015 in one of the neurosurgical teaching hospitals, Black Lion Specialized Hospital. All adult patients with head injury who visited the emergency department during the study period were included. Data on patients' sociodemographic, mechanism of trauma, clinical presentation, imaging findings, and presence of polytrauma were collected by a pretested questionnaire. The source of data was emergency department logbooks and patient charts. RESULTS:A total of 390 patients with head injury who visited the emergency department were included during the study period. There were 335 males (85.9%) and 55 females (14.1%) with the mean age (standard deviation) of 35.4 (15.6) years. Majority of patients came by taxi constituting 149 (38.2%) of all patients, whereas 147 patients (37.7%) used ambulance. Of 147 patients brought by ambulances, 133 (90.4%) were referred from other hospitals. The majority, 26 (45.6%), of patients who came directly to the emergency department used taxis. It is shown that the mode of arrival and origin of arrival are significantly related, P = 0.000. Mortality of severe head injury at the emergency department was 50.8%. CONCLUSIONS:Prehospital care coverage was low and ambulances were used mainly for interhospital transfers. Mortality of severe head injury at the emergency department is high and significantly associated with preventable causes like vital sign derangement.
journal_name
World Neurosurgjournal_title
World neurosurgeryauthors
Laeke T,Tirsit A,Debebe F,Girma B,Gere D,Park KB,Azazh Adoi
10.1016/j.wneu.2019.03.044subject
Has Abstractpub_date
2019-07-01 00:00:00pages
e186-e192eissn
1878-8750issn
1878-8769pii
S1878-8750(19)30670-9journal_volume
127pub_type
杂志文章abstract：OBJECTIVE:The impact of obesity on spine surgery has been studied extensively, but only a few investigations have been focused on minimally invasive spinal fusion techniques and complication rates in normal-weight, preobese, or obese patients. Obesity was found to be a risk factor for intraoperative complications. Publ...
journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2017.12.075
更新日期：2018-03-01 00:00:00
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journal_title：World neurosurgery
pub_type： 杂志文章,多中心研究
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journal_title：World neurosurgery
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journal_title：World neurosurgery
pub_type： 历史文章,杂志文章,评审
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更新日期：2020-03-01 00:00:00
abstract：BACKGROUND:Tuberculous meningitis (TBM) is an endemic infectious disease in developing countries, and it can become a serious illness in children. Treatment of TBM is more difficult and prone to failure than treatment of pulmonary tuberculosis. TBM causes hydrocephalus, cerebral edema, increased intracranial pressure, ...
journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2017.12.007
更新日期：2018-03-01 00:00:00
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更新日期：2020-01-01 00:00:00
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journal_title：World neurosurgery
pub_type： 杂志文章,评审
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pub_type： 杂志文章
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journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2018.05.072
更新日期：2018-08-01 00:00:00
abstract：BACKGROUND:Herpes simplex encephalitis (HSE) after neurosurgical procedures is extremely uncommon, and the few published case reports mainly described herpes simplex virus type 1 (HSV-1) as being culpable. We present a rare case of HSV-2 encephalitis after craniotomy and describe its pathophysiology and optimal managem...
journal_title：World neurosurgery
pub_type： 杂志文章,评审
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更新日期：2016-04-01 00:00:00
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pub_type： 杂志文章,评审
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更新日期：2017-07-01 00:00:00
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更新日期：2018-12-01 00:00:00
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pub_type： 杂志文章,多中心研究
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更新日期：2017-04-01 00:00:00
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pub_type： 杂志文章,meta分析,评审
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journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2018.04.083
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pub_type： 杂志文章
doi：10.1016/j.wneu.2016.06.022
更新日期：2016-09-01 00:00:00
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pub_type： 临床试验,杂志文章
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更新日期：2013-02-01 00:00:00
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pub_type： 杂志文章
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更新日期：2019-03-01 00:00:00
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更新日期：2019-12-01 00:00:00
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更新日期：2020-02-01 00:00:00
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更新日期：2018-07-01 00:00:00
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更新日期：2019-01-01 00:00:00
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更新日期：2019-08-01 00:00:00
