The epidemiology and clinical management of craniocerebral injury caused by the Sichuan earthquake.

Abstract:

BACKGROUND:Earthquake is one of the most devastating natural disasters that threaten human lives. Worldwide more than 3 million deaths have been caused by earthquakes in recent 20 years. AIM:To analyze clinical features of head injuries after Sichuan earthquake. MATERIALS AND METHODS:From May 12 to June 12, 2008, Departments of Neurosurgery in major Hospitals in Sichuan Province admitted 1368 patients with head injuries caused by the Sichuan earthquake; the epidemiology, mechanism, severity, complications, treatments and outcome of head injury were retrospectively analyzed. RESULTS:Of the 1,368 patients, 755 were men and 613 women. Collapsing building was the most important cause of head injury. Most of the patients, 85% had mild to moderate head injury. The type of injury was open scalp injury in 65% of patients. About 47% of the head-injured patients were admitted within 72 h after earthquake. Skeletal bone fracture was the most common associated injury (9%). Only 98 patients received surgery. Glasgow Outcome Scale on discharge or transfer was: 5 in 1,121 (82%) patients, 4 in 173 (13%) patients, and 3 or less in 74 (5%) patients. Overall 33 (2%) patients died. CONCLUSIONS:The characteristics of Sichuan earthquake-related head injury are quite distinct. Early standardized treatment is important to have better outcomes.

journal_name

Neurol India

journal_title

Neurology India

authors

Jia L,Li GP,You C,Li H,Huang SQ,Yang CH,Xiong H,Zeng YJ

doi

10.4103/0028-3886.60406

subject

Has Abstract

pub_date

2010-01-01 00:00:00

pages

85-9

issue

1

eissn

0028-3886

issn

1998-4022

pii

ni_2010_58_1_85_60406

journal_volume

58

pub_type

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