EFFICIENCY OF RADIODIAGNOSIS METHODS IN DETECTING STRUCTURAL CHANGES IN TISSUES ASSOCIATED WITH TRAUMATIC BRAIN INJURY

Authors:

Abstract:

Combined craniocerebral injuries, which occupy one of the first places among peacetime injuries and are the most characteristic of road traffic accidents, can reach 70-92% in terms of prevalence. The aim of the study was to compare the studied clinical diagnostic parameters associated with various forms of traumatic brain injury. To achieve this goal, a prospective comparative study of 299 people with traumatic brain injuries hospitalized in the period from 2016 to 2020 was conducted. and the complex use of clinical and instrumental methods of research in various forms of isolated and combined injuries was performed. Pronounced deviations in the prevalence of traumatic brain injury are detected at the age of up to 20 years and older than 70 years, and where the lowest level of traumatic brain injury was noted, the rate increased, reaching a maximum at the age of 20–29 years and 40–49 years. The results of radiodiagnosis testify to the effectiveness of X-ray when used in patients with various post-traumatic complications (χ2=6.233, df=2, p=0.044).

Keywords:

traumatic brain injury age-gender characteristics concomitant injuries radiodiagnosis

References:

1. Biegon A. Considering Biological Sex in Traumatic Brain Injury. Front Neurol. 2021 Feb10; 12:576366. doi: 10.3389/fneur.2021.576366.
2. Chikhladze N, Halliday F, Pitskhelauri N, Tsiskaridze A. Epidemiological features of traumatic brain injuries from a first-level trauma care national medical center in Georgia. OH&RM. 2023; 4(2):5–11. https://doi.org/10.38045/ohrm.2023.2.01
3. Guide 4: Bioethics Committees and Public Policy. Paris: UNESCO. UNESCO. (2019). Available at: https: //unesdoc.unesco.org/ark:/48223/pf0000233230
4. Hallock H, Mantwill M, Vajkoczy P, Wolfarth B, Reinsberger C, Lampit A, et al. Sport-Related Concussion: A Cognitive Perspective. Neurol Clin Pract. 2023 Apr;13(2): e200123. doi: 10.1212/CPJ.0000000000200123.
5. Klukowska-Rötzler J, Buerzle A, Exadaktylos AK, Niemann S, Bürgi F, Jakob DA. Sex differences in sledging injuries: a retrospective 10-season study from a Swiss level 1 trauma centre. BMJ Open Sport Exerc Med. 2023 Jun 22;9(2): e001615. doi: 10.1136/bmjsem-2023-001615.
6. Lee H, Yang Y, Xu J, Ware JB, Liu B. Use of Magnetic Resonance Imaging in Acute Traumatic Brain Injury Patients is Associated with Lower Inpatient Mortality. J Clin Imaging Sci. 2021 Oct 4; 11:53. doi: 10.25259/JCIS_148_2021. PMID: 34754593; PMCID: PMC8571198.
7. Maas AIR, Menon DK, Adelson PD, Andelic N, Bell MJ, Belli A, et al. Traumatic brain injury: integrated approaches to improve prevention, clinical care, and research. Lancet Neurol. 2017 Dec;16(12):987–1048. doi: 10.1016/S1474-4422(17)30371-X
8. McDonald SJ, Sun M, Agoston, DV, Shultzal SR. The effect of concomitant peripheral injury on traumatic brain injury pathobiology and outcome. J Neuroinflammation. 2016; 13: 90. https://doi.org/10.1186/s12974-016-0555-1
9. Pastor IS, Para I, Vesa ȘC, Florian IȘ. Identifying predictive factors for mortality in patients with TBI at a neurosurgery department. J Med Life. 2023 Apr;16(4):554–558. doi: 10.25122/jml-2023-0114.
10. Picetti, E., Catena, F., Abu-Zidan, F. et al. Early management of isolated severe traumatic brain injury patients in a hospital without neurosurgical capabilities: a consensus and clinical recommendations of the World Society of Emergency Surgery (WSES). World J Emerg Surg. 2023; 18: 5. https://doi.org/10.1186/s13017-022-00468-2
11. Pushko OO, Lytvynenko NV. Peculiarities of neurocognitive status of patients in the acute ischemic stroke phase of different hemispheric localization. World of medicine and biology. 2020; 2(72): 99–103. DOI: https://doi.org/10.26724/2079-8334-2020-2-72-99-103
12. Sivco P, Plancikova D, Melichova J, Rusnak M, Hereitova I, Beranek V, et al. Traumatic brain injury related deaths in residents and non-residents of 30 European countries: a cross-sectional study. Sci 2023; Rep 13, 7610. https://doi.org/10.1038/s41598-023-34560-7
13. Sutton M, Chan V, Escobar M, Mollayeva T, Hu Z, Colantonio A. Neck Injury Comorbidity in Concussion-Related Emergency Department Visits: A Population-Based Study of Sex Differences Across the Life Span. J Womens Health (Larchmt). 2019 Apr;28(4):473–482. doi: 10.1089/jwh.2018.7282.
14. Sy E, Amram O, Baer HJ, Hameed SM, Griesdale DEG. Transport Time and Mortality in Critically Ill Patients with Severe Traumatic Brain Injury. Can J Neurol Sci. 2021 Nov;48(6):817–825. doi: 10.1017/cjn.2021.5.

Publication:

«World of Medicine and Biology» Vol. 19 No. 85 (2023) , с. 125-128
УДК 617.51-001.4-073.43

DOI:

https://doi.org/10.26724/2079-8334-2023-3-85-125-128