Civilian gunshot wounds to the head

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dc.authorid0000-0002-6518-1100
dc.authorid0000-0002-9395-2902
dc.authorid0000-0003-1426-6419
dc.authorid0000-0001-6142-1085
dc.contributor.authorDöşoğlu, Murat
dc.contributor.authorOrakdöğen, Metin
dc.contributor.authorSomay, Hakan
dc.contributor.authorAteş, Özkan
dc.contributor.authorZiyal, İbrahim
dc.date.accessioned2021-06-23T19:17:16Z
dc.date.available2021-06-23T19:17:16Z
dc.date.issued1999
dc.departmentBAİBÜ, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümüen_US
dc.description.abstractBackground and Purpose. - Civilian Gunshot Wounds (GSWs) to the head are important causes of mortality. The severity of GSWs is related to several factors. Patients with GSWs tend to do very well or very poor depending on these factors. Methods. - We retrospectively reviewed 47 patients with GSWs to the head during the last 5 years. Clinical and radiological findings of cases are described. Statistical analysis was used to find the effects of all independent variables with mortality and the prognostic factors. Results. - Glasgow Outcome Scale results showed that 38 % of patients died, 13 % were moderately disabled and 49 % had good recovery at discharge. Patients with respiratory depression, hypovolemia, bilateral pupil dilatation, Glasgow Coma Scale (GCS) scores of 3 to 5, central bihemispheric and transventricular injury experienced 100 % mortality. The mortality rate was 58 % in patients with intracerebral or subdural hematoma, 78 % in multilobar injury, 14 % in unilobar injury and 57 % in self-inflicted wounds. The postoperative mortality was 27 %. Conclusion. - The manuscript describes the clinical experience of penetrating missile injuries in a Turkish civilian practice. Mortality and/or poor outcome are relatively high in spite of the cases wounded by low-velocity weapons. We should emphasize that following stabilization of vital signs, all patients with GCS scores of 3 to 5 should be evaluated immediately with CT and treated conservatively. If it is appropriate the patients with a GCS score higher than 8 should undergo surgery. Patients with GCS scores of 6 to 8 should be followed closely and treated with surgery when necessary even if they have poor prognosis.en_US
dc.identifier.endpage207en_US
dc.identifier.issn0028-3770
dc.identifier.issue3en_US
dc.identifier.pmid10567959en_US
dc.identifier.scopus2-s2.0-0345062289en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage201en_US
dc.identifier.urihttps://hdl.handle.net/20.500.12491/5322
dc.identifier.volume45en_US
dc.identifier.wosWOS:000083367800003en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorZiyal, İbrahim
dc.language.isofren_US
dc.publisherMasson Editeuren_US
dc.relation.ispartofNeurochirurgieen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectBrain Injuryen_US
dc.subjectGunshot Woundsen_US
dc.subjectOutcomeen_US
dc.subjectPenetrating Craniocerebral Injuryen_US
dc.titleCivilian gunshot wounds to the headen_US
dc.typeArticleen_US

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Cerrahi Tıp Bilimleri Bölümü Koleksiyonu
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