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두부 외상 후 두개골 골절 환아의 두개내 출혈 위험요인

Risk Factors of Intracranial Hemorrhage in Skull Fracture after Pediatric Head Trauma

Journal of Korean Biological Nursing Science 2020년 22권 1호 p.45 ~ 52
지명희 ( Ji Myoung-Hee ) - 서울아산병원 간호부

최혜란 ( Choi Hye-Ran ) - 울산대학교 의과대학 임상전문간호학

Abstract


Purpose: The purpose of this study was to investigate the risk factors of intracranial hemorrhage in children with skull fractures from head trauma.

Methods: The retrospective study included 205 patients diagnosed with a skull fracture in a pediatric emergency room. Data were analyzed using χ2-test, Fisher’s exact test, t-test, and logistic regression analysis with the SPSS/WIN24.0 program.

Results: Intracranial hemorrhage was diagnosed in 71 patients. There were statistically significant differences between the hemorrhagic group and non-hemorrhagic group in age group, places of accident, type of accident, location of the fracture, and symptoms. Intracranial hemorrhage by age group was higher in school-age and adolescence than in infancy. The places of accidents of hemorrhage were higher in street and school than in the home. The types of an accident of bleeding were higher in the case of knock and traffic accident than in fall. Symptoms of nausea, headache, and loss of consciousness were associated with higher intracranial hemorrhage. Multivariable logistic regression analysis showed that knock (OR=3.29, 95% CI=1.50-7.22), traffic accident (OR=4.78, 95% CI=1.31-17.43), nausea (OR=4.18, 95% CI=1.42-12.31), and loss of consciousness (OR=3.29, 95% CI=1.41-9.50) were risk factors for intracranial hemorrhage.

Conclusion: In this study, the risk factors of intracranial hemorrhage were identified in pediatric patients with skull fractures caused by head trauma. It is recommended that the results of this study be used to manage and educate patients, caregivers, and medical staff after head trauma hemorrhage.

키워드

두부 외상; 두개골 골절; 두개내 출혈; 소아
Head injuries; Skull fractures; Traumatic intracranial hemorrhage; Children
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