Factors Predicting Intracranial Hemorrhage in mild Traumatic Brain injury Patients in Emergency Room of Kantharalak Hospital
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Abstract
Traumatic Brain injuries are a major problem worldwide, mostly caused by traffic injuries and falls. If the diagnosis of intracranial hemorrhage is delayed, it can result in disability and death. Therefore, knowing the risk factors that affect the occurrence of abnormalities will help doctors make decisions to plan care effectively and prevent possible complications. This study is a retrospective analytical study. The objective of this study is to study the factors affecting the occurrence of intracranial hemorrhage with mild brain injuries. The sample group was people with mild brain injuries who underwent brain CT scans at Kantharalak Hospital from October 1, 2022, to September 30, 2023. They were selected by calculating the sample group using the Cochrane formula, purposive random sampling, and collected data using a data recording research tool. Data were analyzed using descriptive statistics, including numbers, percentages, and the Chi squared test.
The results of the study found that the sample group had intracranial hemorrhage in 27.7 percent, with the most common abnormality being subdural hemorrhage (9.2 percent). The factors that significantly affected the occurrence of intracranial hemorrhage were the mechanism of injury (p=0.032), especially traffic accidents, vomiting (p<0.001), headache (0.021), post-accident seizures (0.021), level of consciousness (p<0.001), systolic blood pressure (p=0.001), and symptoms of skull base fracture (p<0.001). The study concluded that there were many factors affecting the occurrence of intracranial hemorrhage, which should be used as the basis for screening and appropriate care. Relevant agencies should strictly control accident prevention measures, which are important in reducing the number and severity of brain injuries.
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เนื้อหาและข้อมูล (เขียนข้อกำหนด)
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