Epidemiology of head Trauma in emergency surgical intensive care units. Retrospective study in 302 patients.

Mohamed amine HAIDAR; soufiane hanssal; amine SCHAHRAKANE; afak NSIRI; Rachid ALHARRAR

Epidemiology of head Trauma in emergency surgical intensive care units. Retrospective study in 302 patients.

Author(s)	Dr. Mohamed amine HAIDAR, Dr. soufiane hanssal, Dr. amine SCHAHRAKANE, Prof. Dr. afak NSIRI, Prof. Dr. Rachid ALHARRAR
Country	Morocco
Abstract	Head injuries are a major public health and socio-economic problem, especially in developing countries, because they affect young adults in particular, who make up the working population. This is a retrospective study from 1 January 2023 to 31 December 2024. It will include all patients with severe head trauma (GCS ≤ 8) with isolated head trauma or as part of a polytrauma hospitalised in the surgical intensive care unit at Casablanca University Hospital ibn Rochd. The aim of this study was to evaluate the epidemiological data and the various therapeutic aspects of severe head trauma. During this period, 65 head trauma patients, including 22 severe head trauma, were treated in the intensive care unit. The majority of patients (80%) was under 40 years of age and (77.27%) were males. The etiologies were dominated by public road accident (72.73%). The average blood pressure of our patients was 93.25 mmHg, ranging from 80 to 111 mm Hg. More than 90% of patients had a Glasgow score > 5. 77% of patients had associated injuries (11 otorrhagia and 6 epistaxis; facial trauma, thoracic trauma, abdominal trauma, peripheral fracture). CT scans were performed at 100% of patients, revealing 0 subdural haematomas, 3 extradural haematomas, 2 cerebral contusions, 7 meningeal haemorrhages and 12 intracerebral haemorrhages. Thoracic and abdominal-pelvic CT scans were performed in 40% of patients. All patients were intubated and ventilated. A tracheostomy was performed secondarily in 18% of patients. Catecholamines were used in 59.10% of cases. Overall mortality was 72.73%. Only 6 patients underwent surgery (3HSD, 1HSD and 2 embarrures). 50% of our patients presented with a pulmonary infection, the most common isolated germs being streptococcus pneumonia, pseudomonas aeroginosa and staphylococcus aureus. 20% of patients have bedsores Finally, we stress the importance of preventing road accidents by complying with the Highway Code, wearing seatbelts, regularly checking the mechanical condition of vehicles, improving road infrastructure and raising awareness of the risks and consequences of road accidents.
Keywords	head trauma, emergency surgical ICU, Brain CT scan, Young, GCS, Extradural heamatoma, Public Road accident
Field	Medical / Pharmacy
Published In	Volume 7, Issue 3, May-June 2025
Published On	2025-06-22

View / Download PDF File

E-ISSN 2582-2160

doi

CrossRef DOI is assigned to each research paper published in our journal.

IJFMR DOI prefix is
10.36948/ijfmr

Downloads

Research Paper Format Copyright Permission Form and Undertaking Form Cover Page Vol 7 Isu 3 Cover Page Vol 7 Isu 2 Cover Page Vol 7 Isu 1

All research papers published on this website are licensed under Creative Commons Attribution-ShareAlike 4.0 International License, and all rights belong to their respective authors/researchers.

CC-BY-SA

About IJFMR Fees & Payment Current Issue Publication Archive	Submit Research Paper Track Submission Status Publication Guidelines Publication Ethics Peer Review & Plagiarism	Join as a Reviewer Editors & Reviewers Reviewer Referral Program Get Reviewer Membership Certi.	Website/Journal Policies Usage Policy Content Policies Privacy Policy

Contact Us		+91-9687-828-838	editor@ijfmr.com

International Journal For Multidisciplinary Research

A Widely Indexed Open Access Peer Reviewed Multidisciplinary Bi-monthly Scholarly International Journal

Epidemiology of head Trauma in emergency surgical intensive care units. Retrospective study in 302 patients.

Share this