Factors affecting dural penetration and prognosis in patients admitted to emergency department with cranial gunshot wound

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dc.contributor.authorIcer, M.
dc.contributor.authorZengin, Y.
dc.contributor.authorDursun, R.
dc.contributor.authorDurgun, H. M.
dc.contributor.authorGoya, C.
dc.contributor.authorYildiz, I.
dc.contributor.authorGuloglu, C.
dc.date.accessioned2024-04-24T15:59:45Z
dc.date.available2024-04-24T15:59:45Z
dc.date.issued2017
dc.departmentDicle Üniversitesien_US
dc.description.abstractTo explore the effect of admission physical examination findings, anamnesis, and computed tomography on dural penetration and prognosis in patients with cranial gunshot wound (CGW). In this study, the medical data of 56 subjects who were admitted to the Emergency Department of Dicle University Hospital with CGWs between January 2011 and December 2013 were retrospectively reviewed. The effects of type of incident (suicidal vs non-suicidal), pupil diameter and light reflex, hemodynamic status, type (bullet or pellet), velocity, trajectory of foreign material, trauma scores, and imaging findings on dural penetration and mortality were explored. The mean age of the study population was 24.8 +/- 13.50 years. Thirty (53.6 %) patients had penetrating injuries and 26 (46.4 %) had non-penetrating injuries; 9 (16.1 %) patients died and 47 (83.9 %) survived. Suicidal injury, pupil diameter and light reflex, bullet as foreign material, and high velocity and lateral trajectory of foreign material significantly affected dural penetration and mortality (p < 0.05). In addition, dural penetration, bilobar, multilobar, or bihemispheric involvement of brain parenchyma, presence of intracranial hemorrhage, subarachnoid hemorrhage, ventricular hemorrhage, fracture, shift, edema, and trauma scores significantly affected mortality (p < 0.05). In CGWs, dural penetration and prognosis can be predicted by physical examination findings and patient characteristics on initial admission.en_US
dc.description.sponsorshipDr Yılmaz Zengin,Recep Dursun,Hasan Mansur Durgun,Cemil Göya,Ismail Yıldız,Cahfer Güloğlu [7] Funding Source: Medlineen_US
dc.identifier.doi10.1007/s00068-015-0564-2
dc.identifier.endpage615en_US
dc.identifier.issn1863-9933
dc.identifier.issn1863-9941
dc.identifier.issue5en_US
dc.identifier.pmid26292966
dc.identifier.scopus2-s2.0-84939616231
dc.identifier.scopusqualityQ1
dc.identifier.startpage611en_US
dc.identifier.urihttps://doi.org/10.1007/s00068-015-0564-2
dc.identifier.urihttps://hdl.handle.net/11468/14237
dc.identifier.volume43en_US
dc.identifier.wosWOS:000412482200006
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherSpringer Heidelbergen_US
dc.relation.ispartofEuropean Journal of Trauma and Emergency Surgery
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectCranial Gunshot Wounden_US
dc.subjectDural Penetrationen_US
dc.subjectMortalityen_US
dc.subjectEmergency Serviceen_US
dc.subjectPrognosisen_US
dc.titleFactors affecting dural penetration and prognosis in patients admitted to emergency department with cranial gunshot wounden_US
dc.titleFactors affecting dural penetration and prognosis in patients admitted to emergency department with cranial gunshot wound
dc.typeArticleen_US

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