| Abstract | Ciljevi: utvrditi broj pozitivnih nalaza kompjuterizirane tomografije (CT) mozga kod bolesnika koji su zbog traume glave upućeni na hitni CT mozga na Kliničkom zavodu za dijagnostičku i intervencijsku radiologiju, u Kliničkom bolničkom centru Rijeka, u četveromjesečnom razdoblju, kao i utvrditi učestalost kombiniranih i izoliranih traumatskih intrakranijskih krvarenja među ispitanicima, u cilju određivanja prevalencije pojedinog te zaključiti koja je vrsta intrakranijskog krvarenja bila najčešća među bolesnicima.
Ispitanici: ova retrospektivna studija uključuje sve bolesnike koji su zbog traume glave upućeni na hitni CT mozga na Kliničkom zavodu za dijagnostičku i intervencijsku radiologiju -lokalitet Sušak, KBC-a Rijeka, u razdoblju od 01.01.2022. do 30.04. 2022. godine.
Rezultati: u četveromjesečnom razdoblju, od 01. siječnja 2022. do 30. travnja 2022. godine, analizirano je sveukupno 626 pacijenata, pri čemu je 377 (60%) bilo muškog spola, dok je 249 (40%) bilo ženskog spola. Ispitanici su klasificirani u 10 dobnih skupina, koje obuhvaćaju dobne raspone od 1 do 9 godina, od 10 do 19 godina i tako dalje, sve do 90+ godina. Najveći broj pacijenata koji su podvrgnuti hitnom CT-u mozga bio je u dobnoj skupini od 70 do 79 godina, ukupno 130 (20,77%). Prosječna dob ispitanika iznosila je 62,65 ± 21,31 godina. Od svih pacijenata, 409 (65,3%) imalo je uredan nalaz, dok je od ostalih 217, njih 65 (29,9%) imalo recentni intrakranijski patološki proces. Od tih 65 pacijenata, njih 48 (73,8%) imalo je traumatsko intrakranijsko krvarenje, od kojih se kod 22 (45,8%) pacijenata traumatsko intrakranijsko krvarenje pojavilo kao izolirana pojava, a kod ostalih 26 (54,2%) kao kombinirana pojava.
Kao izolirano traumatsko intrakranijsko krvarenje najčešće se pojavljuje subduralni hematom (SDH) (45,5%), zatim slijede subarahnoidno krvarenje (SAH) (40,9%), intracerebralno krvarenje (ICH) (9%) te epiduralni hematom (EDH) (4,5%).
U kombinirana intrakranijska krvarenja ubrajaju se različite kombinacije krvarenja unutar lubanje, pri čemu su najčešće kombinacije bile: SAH s kontuzijom mozga (42,3%), SDH i SAH s kontuzijom mozga (15,4%) te SAH i SDH (15,4%). Od ostalih kombiniranih intrakranijskih krvarenja pojavljivali su se: ICH i SAH (3,8%), SDH s kontuzijom (3,8%), ICH, SAH i SDH (3,8%), ICH, SAH i EDH (3,8%), EDH i SDH (3,8%) te ICH i SAH (3,8%).
Uspoređujući učestalost različitih vrsta traumatskih intrakranijskih krvarenja, bilo da se pojavljuju kao kombinirana ili izolirana pojava, SAH (68,8%) i SDH (39,6%) su prvi i drugi po učestalosti, zatim slijede ICH (14,6%) i EDH (6,2%).
Zaključak: uspoređujući slična istraživanja drugih autora, ova studija potvrđuje podudarnost ključnih podataka i rezultata. |
| Abstract (english) | Aim: to determine the number of positive findings on brain CT scans in patients referred for emergency brain CT due to head trauma at the Clinical Department of Radiology within a four-month period, as well as to determine the frequency of combined and isolated traumatic intracranial hemorrhages among the respondents in order to determine the prevalence of each and conclude which type of intracranial hemorrhage was most common among the patients.
Respondents: this retrospective study includes all patients referred for emergency brain CT due to head trauma at the Clinical Department of Radiology, Sušak site, Rijeka Clinical Hos-pital Center, from January 1, 2022, to April 30, 2022.
Results: In the four-month period, from January 1, 2022 to April 30, 2022, a total of 626 patients were analyzed, where 377 (60%) were male, while 249 (40%) were female. The respondents were classified into 10 age groups, which cover the age ranges from 1 to 9 years, from 10 to 19 years and so on, up to 90+ years. The largest number of patients who underwent emergency brain CT were in the age range of 70 to 79 years, a total of 130 (20.77%). The average age of the patients was 62.65 ± 21,31 years. Of all the patients, 409 (65.3%) had normal findings, while among the remaining 217 patients, 65 (29.9%) had recent intracranial pathological process. Out of these 65 patients, 48 (73.8%) had traumatic intracranial bleeding, with traumatic intracranial bleeding occurring as an isolated event in 22 (45.8%) patients, while in the remaining 26 (54.2%), it occurred as a combined occurrence.
Subdural hematoma (SDH) (45.5%) was the most common isolated traumatic intracranial hemorrhage, followed by subarachnoid hemorrhage (SAH) (40.9%), intracerebral hemorrhage (ICH) (9%), and epidural hematoma (EDH) (4.5%).
Combined intracranial hemorrhages included various combinations of bleeding within the skull, with the most common combinations being SAH with brain contusion (42.3%), SDH and SAH with brain contusion (15.4%), and SAH and SDH (15.4%). Other combined intracranial hemorrhages observed were ICH with hemorrhagic content (3.8%), SDH with contu-sion (3.8%), ICH, SAH, and SDH (3.8%), ICH, SAH, and EDH (3.8%), EDH and SDH (3.8%), and ICH and SAH (3.8%).
Comparing the frequency of different types of traumatic intracranial hemorrhages, whether they occurred as combined or isolated events, SAH (68.8%) and SDH (39.6%) were the first and second most frequent, followed by ICH (14.6%) and EDH (6.2%).
Conclusion: Comparing with similar studies conducted by other authors, this research confirms the alignment of key data and findings. |
