A prospective clinical and epidemiological study of head injuries in northern Italy: the Comune of Ravenna

Italian Journal of Neurological Sciences
F ServadeiF Taggi

Abstract

An analysis of all the head injuries occurring during one year within a well-defined geographical area was conducted in the region served by the Ravenna City Hospital in Northern Italy. This hospital does not have a neurosurgical service, so that patients suspected of having neurosurgical problems are transferred to the neurosurgical unit in Bologna, a distance of 65 Km (40 mi.). Of the 1468 head-injured patients seen in the emergency room, 644 (44%) were hospitalized, with an incidence of 372/10(5) pop/year) and were subjected to X-ray study of the skull (83%), EEG (64%), and CT scan (7.5%). 9 patients were transferred to the neurosurgical unit as emergencies on a clinical basis only, all were found to harbor cerebral lesions, and 7 were operated on. Of the patients hospitalized and subjected to CT scan in Ravenna, only one (0.17%) was found to have a lesion necessitating surgery. Mortality was 7.2% with 83% of these patients dying before admission. Three-month follow-up examination revealed the persistence of some symptoms in 20% of the 379 patients examined, but 91% had already returned to their previous occupation. Analysis of the risk factors present in the patients admitted to a non-specialized hospital seems to show that...Continue Reading

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Citations

Nov 6, 2015·Journal of Neurotrauma·Alexandra BrazinovaAnneliese Synnot
Oct 14, 2008·The Journal of Trauma·George StranjalisAnthony Marmarou
Nov 29, 2005·Acta neurochirurgica·F TagliaferriJ Kraus
May 28, 2019·Neurological Sciences : Official Journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology·Emilio AnconaGiovanni Pietro Salvi

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