Akademik Veri Yönetim Sistemi
Ulusal Travma ve Acil Cerrahi Dergisi, cilt.25, sa.6, ss.622-627, 2019 (SCI-Expanded)
BACKGROUND: In our study, we have tried to find out how necessary whole-body computed tomography (WBCT) is to detectother body injuries that may accompany the patients, evaluating head trauma cases with WBCT.METHODS: In our study, we included 198 patients, who were referred to our hospital’s emergency service after head trauma, hadbrain lesions detected in brain tomography (BT), had no additional examination findings and who underwent WBCT. In this retrospective study, patients’ age, gender, type of lesion in brain CT, Glasgow Coma Scale (GCS) values and WBCT findings were examined.RESULTS: In this study, 85.4% of the patients were male and the average age was 25.7 years. The most common cranial CT findingswere fracture, followed by parenchymal bleeding. 67% of the patients’ GCS were below 8. Additional trauma was detected in 78 ofthe patients (39.4%). The most common additional lesion was the thoracic contusion. The mean age of the patients with cervicalinjuries determined in CT was significantly high (p<0.05). Statistical significance was determined between cranial fracture, foreign bodyincidence and thoracic injuries (p<0.05). The incidence of cervical injuries was significantly higher in patients with brain contusiondetected in CT (p<0.05). Fracture frequency and presence of additional lesions in WBCT were significantly high (p<0.05). There wasno correlation between other cranial lesions and additional injury areas (p>0.05).CONCLUSION: The number of studies evaluating WBCT is high in the literature. However, our study is important concerning thatto our knowledge this study is the first study to evaluate the WBCT findings in the head trauma cases without the additional lesionson their bodies. WBCT scan should be recommended in patients whose clinical evaluation could not be completed. WBCT is animportant diagnostic tool for the diagnosis of many pathologies, especially for intrathoracic lesions.