Clinical signs of basilar skull fracture and their predictive value in diagnosis of this injury (2018)
- Authors:
- USP affiliated authors: NOGUEIRA, LILIA DE SOUZA - EE ; SOUSA, REGINA MARCIA CARDOSO DE - EE
- Unidade: EE
- Sigla do Departamento: ENC
- DOI: 10.1097/JTN.0000000000000392
- Subjects: FRATURAS CRANIANAS; SINAIS E SINTOMAS
- Language: Inglês
- Abstract: Although clinical signs for the diagnosis of basilar skull fracture (BSF) are ambiguous, they are widely used to make decisions on initial interventions involving trauma patients. We aimed to assess the performance of early and late (within 48 hr posttrauma) signs for BSF diagnosis and to verify the correlation between the presence of these signs and head injury severity. We conducted a prospectively designed follow-up study at a referral hospital for trauma care in Sao Paulo, Brazil, and performed structured observations for 48 hr post-blunt head injury in patients aged 12 years or older. The following signs of BSF were considered: raccoon eyes, Battle’s sign, otorrhea, and rhinorrhea. Among the 136 enrolled patients (85.3% male; mean age 40 ± 21.4 years), 28 patients (20.6%) had BSF. The clinical signs for the early or late detection of BSF had low accuracy (55.9% vs. 43.4%), specificity (52.8% vs. 30.5%), and positive predictive value (25.7% vs. 27.1%). However, the presence of these signs was correlated to head injury severity, indicated by the Glasgow Coma Scale (p = .041) and Maximum Abbreviated Injury Scale–Head region (p = .002). In view of the low accuracy of these signs, resulting low clinical value of their presence, and their high sensitivity in the late stage, the study results contraindicate the value of BSF signs for making decisions about using the nasal route for the introduction of catheters and tubes in initial trauma care
- Imprenta:
- Publisher place: Philadelphia
- Date published: 2018
- Source:
- Título: Journal of Trauma Nursing
- ISSN: 1078-7496
- Volume/Número/Paginação/Ano: v. 25, n. 5, p. 301-306, Sep./Oct. 2018
- Status:
- Artigo possui versão em acesso aberto em repositório (Green Open Access)
- Versão do Documento:
- Versão submetida (Pré-print)
- Acessar versão aberta:
-
ABNT
SOLAI, Cibele et al. Clinical signs of basilar skull fracture and their predictive value in diagnosis of this injury. Journal of Trauma Nursing, v. 25, n. 5, p. Se/Oct. 2018, 2018Tradução . . Disponível em: https://doi.org/10.1097/JTN.0000000000000392. Acesso em: 02 abr. 2026. -
APA
Solai, C., Domingues, C. de A., Nogueira, L. de S., & Sousa, R. M. C. de. (2018). Clinical signs of basilar skull fracture and their predictive value in diagnosis of this injury. Journal of Trauma Nursing, 25( 5), Se/Oct. 2018. doi:10.1097/JTN.0000000000000392 -
NLM
Solai C, Domingues C de A, Nogueira L de S, Sousa RMC de. Clinical signs of basilar skull fracture and their predictive value in diagnosis of this injury [Internet]. Journal of Trauma Nursing. 2018 ; 25( 5): Se/Oct. 2018.[citado 2026 abr. 02 ] Available from: https://doi.org/10.1097/JTN.0000000000000392 -
Vancouver
Solai C, Domingues C de A, Nogueira L de S, Sousa RMC de. Clinical signs of basilar skull fracture and their predictive value in diagnosis of this injury [Internet]. Journal of Trauma Nursing. 2018 ; 25( 5): Se/Oct. 2018.[citado 2026 abr. 02 ] Available from: https://doi.org/10.1097/JTN.0000000000000392 - O paciente com hipertensão intracraniana na UTI
- Assistência de enfermagem no trauma
- Mudança na religiosidade das vítimas de lesão axonial difusa
- Traumatismo craniencefálico e intervenções de enfermagem
- Mudanças de religiosidade das vítimas de lesão axonial difusa
- Índices de gravidade em vítimas de trauma contuso na terapia intensiva: capacidade preditiva de mortalidade
- Risk factors for the mortality of trauma victims in the intensive care unit
- Fatores associados à mortalidade das vítimas de trauma em unidade de terapia intensiva
- Vítimas com traumatismo cranioencefálico na sala de emergência e fator associado à permanência no setor
- Padrão de intervenções de enfermagem realizadas em vítimas de trauma segundo o Nursing Activities Score
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NOGUEIRA, L S doc 22.pdf | Direct link |
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