The Classification and Risk Factors of Mild Head Injury

Huan-Ting  Chi; Wen-Ta  Chiu; Dar-Yu  Yang; Shin-Han  Tsai

The Classification and Risk Factors of Mild Head Injury

貢獻的翻譯標題: 輕度頭部外傷之分類及危險因子

Huan-Ting Chi, Wen-Ta Chiu, Dar-Yu Yang, Shin-Han Tsai

研究成果: 雜誌貢獻 › 文章 › 同行評審

摘要

背景：探討目前對於輕度頭部外傷的定義，以昏迷指數Glasgow Coma Scale (GCS)大於13分以上做為分類是否恰當？
方法：利用回溯性的研究，在兩年期間共收集到GCS在13-15的輕度頭部外傷，總共4271人。探討其臨床表現並分析會增加顱內出血機會的危險因子。
結果：其中970人(22.7%)電腦斷層結果發現有顱內出血，334(7.8%)需接受開顱手術以及237人(5.5%)預後不佳。我們歸納出八項危險因子，包括：男性、入院時GCS不到15分、意識喪失、傷後失憶、痙攣、神經障礙、顱骨骨折、年紀大於65歲。
結論：傷患GCS在13-15之間，其實臨床的差異是蠻大的。當傷患的GCS是13或14時，通常比較容易有嚴重的傷害。目前的輕度頭部外傷的定義可能讓人產生錯誤的印象，甚至造成疏失；因為其實傷害的結果可能不是“輕度”。我們建議，應該將GCS 13-15的傷患再細分為“輕度頭部外傷”及“高危險群輕度頭部外傷”。“輕度頭部外傷”定義為GCS 15且電腦斷層正常；“高危險群輕度頭部外傷”定義為GCS13、14或15但電腦斷層異常者。

貢獻的翻譯標題	輕度頭部外傷之分類及危險因子
原文	英語
頁（從 - 到）	31-38
頁數	8
期刊	Journal of Emergency Medicine, Taiwan
卷	9
發行號	2
出版狀態	已發佈 - 2007

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title = "The Classification and Risk Factors of Mild Head Injury",

abstract = "Aim: Evaluate the current definition of mild head injury and judge if GCS (Glasgow Coma Scale) 13 is a good critical value.Methods: A retrospective study of 4271 patients with mild head injury (GCS score 13-15) during a 2-year period. Their clinical manifestations were analyzed statistically to find the risk factors of intracranial lesions, neurosurgical intervention and poor outcome.Results: 970 (22.7%) patients had intracranial lesions proven by computed tomography (CT) of the head, 334 (7.8%) needed neurosurgical intervention and 237(5.5%) had an unfavorable outcome. Eight risk factors were found: male, GCS score lower than 15, initial loss of consciousness, post-traumatic amnesia, seizures, focal signs, presence of skull fractures, and old age (°Ÿ65).Conclusion: We suggest that mild head injury is defined as a GCS score of 15 without acute radiographic abnormalities, whereas high-risk mild head injury is defined as a GCS score of 13 or 14, or a GCS score of 15 with acute radiographic abnormalities.",

keywords = "輕度頭部外傷, 昏迷指數, 危險因子, mild head injury, Glasgow Coma Scale GCS, risk factors",

author = "Huan-Ting Chi and Wen-Ta Chiu and Dar-Yu Yang and Shin-Han Tsai",

year = "2007",

language = "English",

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AU - Chi, Huan-Ting

AU - Chiu, Wen-Ta

AU - Yang, Dar-Yu

AU - Tsai, Shin-Han

PY - 2007

Y1 - 2007

N2 - Aim: Evaluate the current definition of mild head injury and judge if GCS (Glasgow Coma Scale) 13 is a good critical value.Methods: A retrospective study of 4271 patients with mild head injury (GCS score 13-15) during a 2-year period. Their clinical manifestations were analyzed statistically to find the risk factors of intracranial lesions, neurosurgical intervention and poor outcome.Results: 970 (22.7%) patients had intracranial lesions proven by computed tomography (CT) of the head, 334 (7.8%) needed neurosurgical intervention and 237(5.5%) had an unfavorable outcome. Eight risk factors were found: male, GCS score lower than 15, initial loss of consciousness, post-traumatic amnesia, seizures, focal signs, presence of skull fractures, and old age (°Ÿ65).Conclusion: We suggest that mild head injury is defined as a GCS score of 15 without acute radiographic abnormalities, whereas high-risk mild head injury is defined as a GCS score of 13 or 14, or a GCS score of 15 with acute radiographic abnormalities.

AB - Aim: Evaluate the current definition of mild head injury and judge if GCS (Glasgow Coma Scale) 13 is a good critical value.Methods: A retrospective study of 4271 patients with mild head injury (GCS score 13-15) during a 2-year period. Their clinical manifestations were analyzed statistically to find the risk factors of intracranial lesions, neurosurgical intervention and poor outcome.Results: 970 (22.7%) patients had intracranial lesions proven by computed tomography (CT) of the head, 334 (7.8%) needed neurosurgical intervention and 237(5.5%) had an unfavorable outcome. Eight risk factors were found: male, GCS score lower than 15, initial loss of consciousness, post-traumatic amnesia, seizures, focal signs, presence of skull fractures, and old age (°Ÿ65).Conclusion: We suggest that mild head injury is defined as a GCS score of 15 without acute radiographic abnormalities, whereas high-risk mild head injury is defined as a GCS score of 13 or 14, or a GCS score of 15 with acute radiographic abnormalities.

KW - 輕度頭部外傷

KW - 昏迷指數

KW - 危險因子

KW - mild head injury

KW - Glasgow Coma Scale GCS

KW - risk factors

M3 - Article

SN - 1562-3386

VL - 9

SP - 31

EP - 38

JO - Journal of Emergency Medicine, Taiwan

JF - Journal of Emergency Medicine, Taiwan

IS - 2

ER -

The Classification and Risk Factors of Mild Head Injury

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