标题：CAUSES AND CONSEQUENCES OF HEAD INJURIES AMONG RURAL INHABITANTS HOSPITALISED IN A MULTI-ORGAN INJURY WARD. II . CIRCUMSTANCES, TYPES AND CONSEQUENCES OF HEAD INJURIES ?
期刊名称：Annals of Agricultural and Environmental Medicine
印刷版ISSN：1232-1966
电子版ISSN：1898-2263
出版年度：2009
卷号：16
期号：01
页码：23-23
出版社：Institute of Agricultural Medicine in Lublin
摘要：The scope of problems concerning head injuries was investigated among rural
patients, compared to urban population, from the aspect of their incidence in both populations,
as well as an attempt to perform a multi-variable analysis of socio-demographic
and geographical risk factors for each of the analysed traits concerning the injury. The
study group were patients treated in the Multi-Organ Injury Ward, at Cardinal Stefan
Wyszyński Regional Hospital in Lublin during the period 1999–2002. The study covered
265 patients. The group of rural inhabitants covered 34% of the total population in the
study. The most frequent circumstances of the injury sustained, both among rural and
urban patients, was a road accident with the patient either as a passenger or a pedestrian,
observed in 30.6% of the total number of people in the study. Female gender was an
injury risk factor. The second position among circumstances of injuries was occupied in
both sub-populations by road accident with the patient as the driver – this concerned 23%
of the total number of patients in the study, and the risk factors were: male gender, place
of residence in rural area and better educational status. The majority of patients sustained
an injury in the street, with similar frequency among rural and urban inhabitants. Rural
patients, signifi cantly more often than urban inhabitants, sustained injuries at home and
in the courtyard. The most frequent type of an injury sustained was cerebral concussion,
which was noted twice as frequently among urban (59.9%) than rural inhabitants
(31.1%). The risk factors of cerebral concussion were: urban place of residence, female
gender, and younger age of a patient. Injuries of mesencephalon were placed in the second
position with respect to the frequency of occurrence, and more often concerned rural
(46.7%) than urban (24.6%) patients. The risk factors for this injury were: living in a rural
area, and older age in males. Concomitant injuries were observed in 50% of rural patients
and in 57.1% of urban inhabitants. The consequences of injuries in various forms were
observed in 87.8% of rural inhabitants, and in a similar percentage of urban patients. Age
turned out to be the risk factor for the appearance of the negative consequences of the
injury. This was also the risk factor of death during treatment, and in balance disorders.
