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Akut kafa travmalı hastaların geriye dönük analizi
2021
Journal:  
Maltepe Tıp Dergisi
Author:  
Abstract:

Amaç: Kafa travmaları acil servise sıklıkla başvuru nedenlerinden birisidir. Bu çalışmada amacımız akut kafa travması ile acil servise başvuran hastalarda erken tanı ve tedavinin önemini araştırmaktır. Materyal ve Metod: Geriye dönük olarak dosya kayıtlarından acil servise izole akut kafa travması ile başvuran hastaları kapsamaktadır. Tüm akut kafa travmalı olgular Glasgow Koma Skalası Skoru’na(GCS) göre hafif (GCS 14–15), orta (GCS 9–13) ve ağır (GCS 3–8) kafa travması olarak 3 gruba ayrıldı. Olguların vital bulguları, yaşı, cinsiyeti, travmanın oluş şekli, beyin tomografi bulguları, yatırıldığı servis, tedavi şekli, hastanede kalma süresi ve son durumları hasta kayıt formlarına kaydedildi. Hastalardan elde edilen veriler SPSS 22.0 (Statistical Package for Social Science) bilgisayar programına yüklendi. Veriler her üç grup için karşılaştırıldı. Bulgular: Acil servise başvuran 1846 travma hastası incelenmiş ve bunların 269’unu (%15) izole akut kafa travmalı hastalar oluşturduğu görülmüştür. Kafa travmalı olguların 199’u (%74) erkek, 70’i (%26) kadın olup erkek/kadın oranı 2.8 olup olguların yaş ortalaması 29 du. Akut kafa travmaları 1–10 yaş arasındaki çocuklarda daha sık idi. Akut kafa travmasına en sık trafik kazalarının neden olduğu saptandı. Olgularımızın çoğunu (%48,3) minor kafa travması oluşturmaktaydı. Sonuç: Kafa travmaları erkek cinsiyette kadın cinsiyete göre daha fazla görülmekte olup çoğunluğunu minör kafa travmaları oluşturmaktadır. GCS 15’ in altında olan tüm olgulara Bilgisayarlı beyin tomografisi (BBT) çekilmelidir. Tüm acil başvurular arasında, akut kafa travmasının önemini bildiren çalışmamız bundan sonraki çalışmalar için referans olabilir.

Keywords:

Back-to-back analysis of acute head trauma patients
2021
Author:  
Abstract:

Purpose: Head trauma is often one of the reasons for applying for emergency service. Our aim in this study is to investigate the importance of early diagnosis and treatment in patients with acute head trauma and seeking emergency service. Materials and Methods: Backward cover patients with acute head trauma isolated from file records to emergency services. All acute headaches were divided into 3 groups according to the Glasgow Koma Scale Score (GCS) as light (GCS 14-15), medium (GCS 9-13) and severe (GCS 3-8) headaches. The vital findings of the events, age, gender, the form of the trauma, the findings of brain tomography, the service in which it was deposited, the form of treatment, the duration of stay in the hospital and the final cases were recorded in the patient’s registration forms. Data from the SPSS 22 patients. 0 (Statistical Package for Social Science) is installed in the computer program. The data was compared for the three groups. Results: 1846 traumatic patients requested emergency services were studied and 269 of them (15%) were isolated by acute head traumatic patients. Of the head trauma cases, 199 (74%) are men, 70 (26%) are women and the male/woman ratio is 2.8 and the average age of the cases is 29 years. Acute head trauma was more common in children between 1 and 10 years of age. Acute head trauma was found to be the cause of the most frequent traffic accidents. Most of our incidents (48.3%) were minor head trauma. The result: Head trauma is more common in male sex than female sex, most of which are minor head trauma. All incidents below GCS 15 should be drawn by computer brain tomography (BBT). Among all emergency applications, our study reporting the importance of acute head trauma can be a reference for subsequent studies.

Keywords:

0
2021
Author:  
Abstract:

SUMMARY Objective: Head trauma is one of the reasons for frequent admission to the emergency department. In this study, our aim is to investigate the importance of early diagnosis and treatment in patients admitted to the emergency department with acute head injury. Materials and Methods: It covers patients who applied to the emergency department with isolated acute head trauma retrospectively from file records. All acute head trauma cases were divided into 3 groups according to Glasgow Coma Scale Score (GCS) as mild (GCS 14–15), moderate (GCS 9–13), and severe (GCS 3–8) head trauma. Vital signs, age, gender, type of trauma, brain tomography findings, hospitalization service, treatment type, duration of hospitalization and final status of the patients were recorded in patient registration forms. The data obtained from the patients were uploaded to the SPSS 22.0 (Statistical Package for Social Science) computer program. Data were compared for all three groups. Results: 1846 trauma patients admitted to the emergency department were examined and 269 (15%) of them were found to be isolated acute head trauma patients. 199 (74%) of the head trauma cases were male, 70 (26%) were female and the male / female ratio was 2.8 and the average age of the cases was 29. Acute head injuries were more common in children aged 1–10 years. It was determined that the most common cause of acute head trauma was traffic accidents. Most of our cases (48.3%) were minor head trauma. Conclusion: Head traumas are more common in males than females, mostly minor head traumas. Computerized brain tomography (BBT) should be performed in all cases with GCS below 15. Among all emergency admissions, our study reporting the importance of acute head trauma can be a reference for future studies.

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Maltepe Tıp Dergisi

Field :   Sağlık Bilimleri

Journal Type :   Ulusal

Metrics
Article : 108
Cite : 34
Maltepe Tıp Dergisi