| Home | E-Submission | Sitemap | Editorial Office |  
top_img
Journal of Korean Neurosurgical Society 2007;42(3): 191-194.
An Experience of Management of Homeless Neurosurgical Patients.
Dae Ki Kim, Cheol Su Jwa, Gang Hyeon Kim, Jae Kyu Kang
Department of Neurosurgery, National Medical Center, Seoul, Korea. chsjwa@hanmail.net
ABSTRACT
OBJECTIVE
Homeless patients probably have epidemiologic features that are different from those of general population. However, there have been no published articles about clinical characteristics of neurosurgical homeless patients. The authors tried to assess the clinical characteristics and treatment outcome of homeless neurosurgical patients.
METHODS
We retrospectively reviewed the medical records and radiological films of 76 homeless patients and 72 non-homeless patients following head trauma who were admitted to our neurosurgical department between June 2001 and June 2005. We compared two groups of the patients with the demographics, the clinical and laboratory characteristics. Also, 30-day mortality was determined according to Glasgow Coma Scale (GCS) score.
RESULTS
Age of homeless patients was younger than that of non-homeless patients. Homeless patients had previous craniotomy evidences in skull x-rays more frequently (10.5% vs. 1.4%). Acute subdural hematoma was the most common type of head injury in the two groups. Moderate and severe head injury, based on GCS score on admission was more frequent in homeless patients (64% vs. 39%). Fifty percent of homeless patients underwent operation for traumatic head injury. However, 30-day mortality according to GCS score was not significantly higher in homeless patients.
CONCLUSION
Most homeless neurological patients were relatively young men. Also, moderate or severe brain injuries were observed more frequently. However, mortality rate of homeless patients in neurosurgical field is not significantly higher in the present study.
Key Words: Homeless persons; Craniocerebral trauma; Treatment outcome
TOOLS
Full text via DOI  Full text via DOI
Download Citation  Download Citation
Share:      
METRICS
1,410
View
28
Download
Related articles
Respiratory Management in Neurosurgical Field.  1982 December;11(4)
Clinical Analysis of Pediatric Neurosurgical Patients (1957-1982).  1983 December;12(4)
Experience in the Surgery of Acoustic Neurinoma.  1985 March;14(1)
Neurosurgical Management of Cerebral Cysticercosis.  1988 April;17(2)
Nonoperative Management of Acute Epidural Hematoma.  1988 August;17(4)
Editorial Office
1F, 18, Heolleung-ro 569-gil, Gangnam-gu, Seoul, Republic of Korea
TEL: +82-2-525-7552   FAX: +82-2-525-7554   E-mail: office@jkns.or.kr
About |  Browse Articles |  Current Issue |  For Authors and Reviewers
Copyright © Korean Neurosurgical Society.                 Developed in M2PI
Close layer