อุบัติการณ์และปัจจัยที่มีผลต่อภาวะเลือดออกในกะโหลกศีรษะของผู้บาดเจ็บสมองไม่รุนแรงที่มารับบริการในห้องฉุกเฉิน โรงพยาบาลมะการักษ์

Natyada  Boonchana

Authors

Natyada Boonchana Emergency Medicine Group Makarak Hospital Kanchanaburi Province

Abstract

Mild traumatic brain injury is one of the most common conditions at the Emergency Room(ER).The brain computed tomography (CT) scan is a good investigation method to diagnose intracranial hemorrhage. However, there is a disagreement of proper criteria about CT. In order to avoid unnecessary exposure to radiation and saving on costs, this study aimed to find incidence rate and factors affecting intracranial hemorrhage in mild traumatic brain injuries. A retrospective descriptive study was conducted. Data was collected between October 1, 2020 and June 30, 2022. All 211 mild traumatic brain injury patients were aged 15 and older with GCS≥13 and underwent CT scan. Of those, 57 patients (27%) had intracranial hemorrhage. Two significant factors affecting intracranial hemorrhage were GCS of 13(RR=8.941, 95%CI; 1.75-45.7, p=0.006) and signs of basal skull fracture. (RR=3.902, 95%CI; 1.76-8.66, p=0.001)

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