Problematic issues of pre-hospital diagnosis and the first medical aid at the acute brain injury

Authors

  • Anatoliy Morozov Bogomolets National Medical University, Kiev, Ukraine
  • Konstantin Dmitriev 1st Makeevka Municipal Hospital, Makeevka, Ukraine
  • Aleksandr Guk Romodanov Neurosurgery Institute, Kiev, Ukraine
  • Andriy Harus Chernigiv Regional Hospital, Chernigiv, Ukraine
  • Petro Mikhilichenko 3rd Cherkassy Municipal Hospital, Cherkassy, Ukraine

Keywords:

acute traumatic brain injury, prehospital diagnosis, primary health care

Abstract

Based on the Makeev region of the Donetsk oblast in Ukraine with the total population at 2496616 people, we analyzed the quality of pre-hospital diagnosis and the first medical aid at the acute brain injury. 796 cases were studied during the year 2000. The results of the conducted study indicate diagnostic mistakes in 41,4% cases of non-acute brain injury and in 53,7% cases of acute brain injury. Accordingly, the provided medical aid was not of the proper quality. The main reason for this is the lack of knowledge in the issues related to the acute brain injury. Perspectives in resolving this problem lie in the development and introduction of contemporary standards of the first medical aid at this kind of trauma at the pre-hospital stage.

References

Гербер Ю.М., Рязанцев П.Н., Солопаев А.А. Об организации экстренной нейродиагностической службы // Материалы второго съезда нейрохирургов Рос.Федерации (16—19 июня1998 г., Нижний Новгород). — СПб, 1998. — С.15.

Демьянов В.М.. Абелова Г.М. Медицинские аспекты дорожно-транспортного травматизма (обзор литературы) // Здравоохр. Рос. Федерации. — 1980. — №12. — С. 9—12.

Лебедев В.В., Быковников Л.Д. Руководство по неотложной нейрохирургии. —М.: Медицина, 1987. — 336 с.

Лейтане Л.Я., Курмис Д.А., Кикут Р.П. Эпидемиологические исследования черепно-мозговой травмы в Латвийской ССР за 1987 год // Эпидемиология травмы центральной нервной системы. — Л.: ПО-3 Ленуприздата, 1989. — C.49-51.

Морозов А.Н. Современные взгляды на медикаментозное лечение острой черепно-мозговой травмы // Ліки України.— 1999.— №4.— С.59—60.

Педаченко Є.Г., Морозов А.Н. Профилактика и лечение вазоспазма и вторичной ишемии мозга при черепно-мозговой травме препаратом нимотоп // Ліки України. — 1999.— №3.— С.67—68.

Полищук Н.Е. Лечебная тактика при сочетанной черепно-мозговой травме // Первая конф.нейрохирургов Респ. Крым: Тез. докл. — Керчь, 1995. — C.46-47.

Чернобай В.А. Анализ летальных исходов от травм // Ортопед., травматол. — 1983. — №1. — С. 50-53.

Ярцев В.В., Непомнящий В.М., Лихтерман Л.Б. Эпидемиология острой черепно-мозговой травмы // Журн. Вопр. нейрохирургии им. Н.Н.Бурденко. — 1991. — № 3. — С. 14—19.

Benito Fernandez J., Mintegui Raso S., Sanchez Echaniz J. et al. Traumatismo craneal en la infancia: permite la clinica seleccionar los pacientes en alto o bajo riesgo de presentar una lesion intracraneal? // Anales Espanoles de Pediatria.— 1998. — Vol. 48, N 2. — P.122—126.

Engberg A., Teasdale T.W. Traumatic brain injury in children in Denmark: a national 15-year study. // Europ. J. of Epidemiol.— 1998. — Vol.14, N2. — P.165—173.

Gianotta S.L., Weiner J.M., Cerverha B.B. Prognosis and outcome in severe head injury // J.Neurosurg. — 1991. — Vol.28, N 6. — P.858—859.

Ingebrigtsen T., Mortensen K., Romner B. The epidemiology of hospital-referred head injury in northernNorway// Neuroepidemiology.— 1998.— Vol.17, N3.—P.139—146.

Tate R.L., McDonald S., Lulham J.M. Incidence of hospital-treated traumatic brain injury in an Australian community. // Australian & New Zealand J.Public Health. — 1998. — Vol.22, N 4. — P.419-423.

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How to Cite

Morozov, A., Dmitriev, K., Guk, A., Harus, A., & Mikhilichenko, P. Problematic issues of pre-hospital diagnosis and the first medical aid at the acute brain injury. Ukrainian Neurosurgical Journal, (3), 56–61. Retrieved from https://theunj.org/article/view/56201

Issue

No. 3 (2001)

Section

Original articles

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Copyright (c) 2001 Anatoliy Morozov, Konstantin Dmitriev, Aleksandr Guk, Andriy Harus, Petro Mikhilichenko

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