Original Article

Evaluation of the Relationship Between Fracture and Bleeding in Head Trauma Patients with Brain Hemorrhage or Fracture


  • Ufuk Taş
  • Murat Ayan
  • Tuğba Karaman
  • Nurşah Başol
  • Hüseyin Ortak
  • Mehmet Esen
  • Gülşah Başol

Received Date: 21.01.2012 Accepted Date: 03.04.2012 Eurasian J Emerg Med 2013;12(2):85-88


This study aimed to determine the most common bleeding type, the location of bleeding, the type of trauma and the presence of fracture in patients admitted to the emergency department of our hospital following head trauma.

Material and Method:

This study evaluated patient information from the Enlil-HIS data system of our hospital and the case files of patients admitted to the emergency department following head trauma. The study included 47 major head trauma patients, of whom 15 were female (68.1%) and 32 were male (31.9%), with either fracture or bleeding or both in the cranium.


The most common cause of major trauma was traffic accidents and the second most common was falling. It was determined that major trauma was more common in males than in females; 14.9% of cases resulted in death. The majority of deaths occurred in patients over the age of 65 (42.8%). The occurrence of head trauma with fracture and concomitant bleeding was significantly high (38.3%). There was no statistically significant difference in the occurrence of hemorrhage with or without fracture (p>0.05). The most common locations of bleeding were the frontal, frontoparietal and temporal regions, and the majority of bleeds were subdural (25.5%) and subarachnoidal (23.4%).


The possibility of brain hemorrhage in cases of head trauma without fracture should be considered upon admission to the emergency department.

Keywords: Head trauma, bleeding, fracture