Original scientific paper
https://doi.org/10.55378/rv.46.1.3
Emergency Treatment of Head Injuries in Children at the Clinical Hospital Centre Osijek
Tomislav Jovanić
orcid.org/0000-0003-4357-0292
; Klinički bolnički centar Osijek, Klinički zavod za dijagnostičku i intervencijsku radiologiju; Sveučilište Josipa Jurja Strossmayera u Osijeku, Medicinski fakultet Osijek; Sveučilište Josipa Jurja Strossmayera u Osijeku, Fakultet za dentalnu medicinu i zdravstvo, Zavod za teleradiologiju i umjetnu inteligenciju
Tamer Salha
; Dom zdravlja Osječko – Baranjske županije
Miro Miljko
; Sveučilišna klinička bolnica Mostar, Klinički zavod za radiologiju; Sveučilište u Mostaru, Medicinski fakultet Mostar; Sveučilište u Mostaru, Fakultet zdravstvenih studija Mostar
Abstract
The aim of the study is to investigate the number of performed radiological examinations, examinations and the part of positive findings (skull fractures) in children, to distribute the mechanism of injuries, and to investigate whether there is a difference in prescribed examinations among patients admitted to hospital or discharged from the hospital. Children up to 14 years of age who were referred for X – ray and/or head CT from the emergency department due to head injuries were part of this study. The retrospective research was conducted by inspecting the information system of the Clinical Hospital Centre Osijek. Research period was from January 1st 2019. to June 30th 2019. The study involved 295 patients, of whom 293 had a skull X – ray, and two patients had only CT – head scan. In 111 patients, an additional X – ray projection was administered in addition to the standard skull X – ray projections. Two patients required computed tomography after an X – ray was performed. After the skull X – ray (and additional projections) were performed, skull fracture was ruled out in 280 patients, and transparencies that may correspond to the fracture were visible in 13 patients. Two patients that underwent CT – head scans had a skull fracture, while in two patients it was ruled out. 42 children were hospitalized, while hospitalization was refused in 12 patients by parents or legal guardians. The mean hospital stay was 2.6 days. Craniocerebral injuries are common in the paediatric population, however in most cases without more serious consequences. According to the latest guidelines, plain skull X – rays should not be used in traumatic head injuries management.
Keywords
skull X – ray, emergency, children, trauma, Computed Tomography
Hrčak ID:
276118
URI
Publication date:
6.5.2022.
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