engleski

Craniocerebral injuries in Slavonia and Baranya in the period 1991-1995

The aim of the study was to evaluate the incidence and type of craniocerebral injuries in the region of Slavonia and Baranya during the war period (1991-1995), witch partly covers the year of intensive war activities (1991- 1992), although war injuries occurred later. The analyses showed a correlation between the initial severity of the functional brain damage and the final results of treatment. In our analyses we took into account: the time period between the injury and the start of treatment, the patient's age, the type of head injury (open of closed). In this study we did not correlate the course and outcome of injuries sustained in battle and those in peace. We analyzed 473 patients treated in the period of 1991-1995 in the Neurosurgery Dpt, Clinical Hospital Osijek. The data were collected from case histories. The patients were classified according to sex, residence, place trauma, type of craniocerebral injury and contingent combination with another systemic injury, mechanism of injury, kind of treatment, and as an index of the treatment result, comparison of GCS (Glasgow Coma Scale) and GOS (Glasgow outcome score). In the investigated period of time most of patients were civilians, males, injured in the town Osijek. In the whole five year-period, traffic accidents were the most frequent cause of head injury and most often injury occurred during the war years. When the time of transport was longer, the number of patients with higher values of GCS and GOS was smaller. In closed head injury, most frequently GCS was 15, and most often the result of treatment was complete cure without consequences ; in patients with open head injury the GCS mostly was 3. If the score of GCS was lower on arrival, the possibility of adverse outcome of treatment was higher and conversely.

brain damage; injury; GCS

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