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Article: Lateral impact in closed head injury: A substantially increased risk for diffuse axonal injury-A preliminary study

TitleLateral impact in closed head injury: A substantially increased risk for diffuse axonal injury-A preliminary study
Authors
Issue Date2007
PublisherChurchill Livingstone. The Journal's web site is located at http://www.elsevier.com/locate/jcms
Citation
Journal Of Cranio-Maxillofacial Surgery, 2007, v. 35 n. 3, p. 142-146 How to Cite?
AbstractObjective: Assessment, whether location of impact causing different facial fracture patterns was associated with diffuse axonal injury in patients with severe closed head injury. Methods: Retrospectively all patients referred to the Trauma Unit of the University Hospital of Zurich, Switzerland between 1996 and 2002 presenting with severe closed head injuries (Abbreviated Injury Scale (AIS) face of 2-4 and an AIS head and neck of 3-5) were assessed according to the Glasgow Coma Scale (GCS) and the Injury Severity Score (ISS). Facial fracture patterns were classified as resulting from frontal, oblique or lateral impact. All patients had undergone computed tomography. The association between impact location and diffuse axonal injury when correcting for the level of consciousness (using the Glasgow scale) and severity of injury (using the ISS) was calculated with a multivariate regression analysis. Results: Of 200 screened patients, 61 fulfilled the inclusion criteria for severe closed head injury. The medians (interquartile ranges 25;75) for GCS, AIS face AIS head and neck and ISS were 3 (3;13), 2 (2;4), 4 (4;5) and 30 (24;41), respectively. A total of 51% patients had frontal, 26% had an oblique and 23% had lateral trauma. A total of 21% patients developed diffuse axonal injury (DAI) when compared with frontal impact, the likelihood of diffuse axonal injury increased 11.0 fold (1.7-73.0) in patients with a lateral impact. Conclusions: Clinicians should be aware of the substantial increase of diffuse axonal injury related to lateral impact in patients with severe closed head injuries. © 2007 European Association for Cranio-Maxillofacial Surgery.
Persistent Identifierhttp://hdl.handle.net/10722/154469
ISSN
2015 Impact Factor: 1.592
2015 SCImago Journal Rankings: 1.010
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorZwahlen, RAen_US
dc.contributor.authorLabler, Len_US
dc.contributor.authorTrentz, Oen_US
dc.contributor.authorGrätz, KWen_US
dc.contributor.authorBachmann, LMen_US
dc.date.accessioned2012-08-08T08:25:30Z-
dc.date.available2012-08-08T08:25:30Z-
dc.date.issued2007en_US
dc.identifier.citationJournal Of Cranio-Maxillofacial Surgery, 2007, v. 35 n. 3, p. 142-146en_US
dc.identifier.issn1010-5182en_US
dc.identifier.urihttp://hdl.handle.net/10722/154469-
dc.description.abstractObjective: Assessment, whether location of impact causing different facial fracture patterns was associated with diffuse axonal injury in patients with severe closed head injury. Methods: Retrospectively all patients referred to the Trauma Unit of the University Hospital of Zurich, Switzerland between 1996 and 2002 presenting with severe closed head injuries (Abbreviated Injury Scale (AIS) face of 2-4 and an AIS head and neck of 3-5) were assessed according to the Glasgow Coma Scale (GCS) and the Injury Severity Score (ISS). Facial fracture patterns were classified as resulting from frontal, oblique or lateral impact. All patients had undergone computed tomography. The association between impact location and diffuse axonal injury when correcting for the level of consciousness (using the Glasgow scale) and severity of injury (using the ISS) was calculated with a multivariate regression analysis. Results: Of 200 screened patients, 61 fulfilled the inclusion criteria for severe closed head injury. The medians (interquartile ranges 25;75) for GCS, AIS face AIS head and neck and ISS were 3 (3;13), 2 (2;4), 4 (4;5) and 30 (24;41), respectively. A total of 51% patients had frontal, 26% had an oblique and 23% had lateral trauma. A total of 21% patients developed diffuse axonal injury (DAI) when compared with frontal impact, the likelihood of diffuse axonal injury increased 11.0 fold (1.7-73.0) in patients with a lateral impact. Conclusions: Clinicians should be aware of the substantial increase of diffuse axonal injury related to lateral impact in patients with severe closed head injuries. © 2007 European Association for Cranio-Maxillofacial Surgery.en_US
dc.languageengen_US
dc.publisherChurchill Livingstone. The Journal's web site is located at http://www.elsevier.com/locate/jcmsen_US
dc.relation.ispartofJournal of Cranio-Maxillofacial Surgeryen_US
dc.subject.meshDiffuse Axonal Injury - Etiologyen_US
dc.subject.meshFacial Bones - Injuriesen_US
dc.subject.meshFemaleen_US
dc.subject.meshHead Injuries, Closed - Complicationsen_US
dc.subject.meshHumansen_US
dc.subject.meshMaleen_US
dc.subject.meshOdds Ratioen_US
dc.subject.meshParietal Boneen_US
dc.subject.meshRegression Analysisen_US
dc.subject.meshRetrospective Studiesen_US
dc.subject.meshSkull Fractures - Etiologyen_US
dc.subject.meshSphenoid Boneen_US
dc.subject.meshTemporal Boneen_US
dc.subject.meshTrauma Severity Indicesen_US
dc.titleLateral impact in closed head injury: A substantially increased risk for diffuse axonal injury-A preliminary studyen_US
dc.typeArticleen_US
dc.identifier.emailZWAHLEN, RA:zwahlen@hku.hken_US
dc.identifier.authorityZWAHLEN, RA=rp00055en_US
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1016/j.jcms.2007.01.006en_US
dc.identifier.pmid17583523-
dc.identifier.scopuseid_2-s2.0-34447132922en_US
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-34447132922&selection=ref&src=s&origin=recordpageen_US
dc.identifier.volume35en_US
dc.identifier.issue3en_US
dc.identifier.spage142en_US
dc.identifier.epage146en_US
dc.identifier.isiWOS:000248959900002-
dc.publisher.placeUnited Kingdomen_US
dc.identifier.scopusauthoridZWAHLEN, RA=7004217269en_US
dc.identifier.scopusauthoridLABLER, L=6603744133en_US
dc.identifier.scopusauthoridTRENTZ, O=17836456000en_US
dc.identifier.scopusauthoridGRÄTZ, KW=7005383755en_US
dc.identifier.scopusauthoridBACHMANN, LM=7005450670en_US

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