Toward zero mortality in acute epidural hematoma: A review in 268 casesproblems and challenges in the developing country

Rohadi Muhammad Rosyidi and Bambang Priyanto and Asra Al Fauzi and Agung Budi Sutiono (2019) Toward zero mortality in acute epidural hematoma: A review in 268 casesproblems and challenges in the developing country. Interdisciplinary Neurosurgery, 17. pp. 12-18. ISSN 22147519

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Official URL: https://www.sciencedirect.com/science/article/pii/...

Abstract

Background Epidural hematoma (EDH) is one of the most life threatening lesion in patients with craniocerebral trauma. Traumatic extradural haematoma (EDH) is a neurosurgical emergency and timely surgical intervention for significant EDH is the gold standard. This study aims to determine the incidence and mortality of consecutive patients with traumatic EDH admitted to the Emergency Department (ED) of Dr. Soetomo General Hospital, Airlangga University in Surabaya. Material and methods Retrospective analysis of prospectively collected data for all consecutive trauma cases admitted through the ED during January 2009–May 2012. EDH was diagnosed by CT in all cases. Both primary and delayed onset EDH were included, as were patients with combined EDH and other intracranial lesions (e.g. subdural haematoma). Age, sex, cause of injury, associated intracranial lesions, skull fracture, Glasgow Coma Scale, pupil reactivity, and clinical outcome were determined. Results We performed a chart review of 268 patients had complete data admitted to the emergency department with EDH diagnosed by CT scan and surgically treated between January 2009 and May 2012, mean of 15.41 patients per month. Seventy (77%) patients were male, with a mean age of 27.1 years. Sixty (73.86%) patients were from road traffic crashes, 40 (14.92%) sustained falls, 7 (2.61%) had direct head trauma. On admission, 81 (30%) patients were GCS 14–15, 116 (43%) GCS 9–13 and 71 (27%) GCS 3–8. Overall, 79 patients (29%) had anisocor pupils. Thirty-one patients (11.56%) died after neurosurgical operation. Conclusions Outcome of EDH depends on the several factors, including trauma operation interval, patient's age, clinical status preoperative and associated other extracranial injury.

Item Type: Article
Uncontrolled Keywords: Extradural hematoma, Traumatic brain injury, Outcome
Subjects: R Medicine > R Medicine (General)
R Medicine > RZ Other systems of medicine
Divisions: 01. Fakultas Kedokteran > Ilmu Bedah Saraf
Creators:
CreatorsNIM
Rohadi Muhammad RosyidiUNSPECIFIED
Bambang PriyantoUNSPECIFIED
Asra Al FauziNIDN0001107012
Agung Budi SutionoUNSPECIFIED
Depositing User: hanif kurniawan
Date Deposited: 27 Jul 2020 03:41
Last Modified: 27 Jul 2020 03:41
URI: http://repository.unair.ac.id/id/eprint/96427
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