Factors affecting outcomes of surgically treated patients with cranial extradural hematoma: A cross-sectional study

Lafta, Ghazwan; Dolachee, Ali A.; Al-Zubaidi, Alyaa Khalid

doi:10.4103/2221-6189.283887

Cited by 3 publications

(7 citation statements)

References 1 publication

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Also, in the series of Das et al 12 55 patients (3%) expired, all of whom had time between injury and surgery of more than 12 hours. On contrary to our results, Lafta et al 17 reported that the time interval between injury and patient reception had no effect on mortality. This difference from our results can be attributed to: in their series, 46% of patients had the time interval between injury and reception of <3 hours and 38% of received patients presented with high GCS.…”

Section: Time To Surgery and Postoperative Hospital Coursecontrasting

confidence: 99%

Impact of Time from Injury to Surgery on Postoperative Functional Recovery in Large Volume Traumatic Extradural Hematomas

Elkholy,

Elnoamany,

Ammar

2024

Indian Journal of Neurotrauma

View full text Add to dashboard Cite

Background In traumatic brain injury (TBI) patients, the time from trauma to cranial surgery is always of great concern to patients and neurosurgeons. Patients and Methods A retrospective study conducted on 93 TBI patients presented with Glasgow Coma Scale from 4 to 13 and were operated for large volume (≥ 40 cm3) extradural hematoma (EDH) from July 2020 to December 2022. Surgery was done either within 6 hours following trauma (group A) or later than 6 hours (group B). We evaluated the impact of time from injury to surgery on postoperative clinical recovery, survival, and hospital stay. Results Fifty patients (53.8%) were operated upon within 6 hours after trauma and 43 patients (46.2%) had operations later than 6 hours. No significant difference was found between the two study groups regarding any of the preoperative clinical or radiological factors except for the mean time from injury to surgery (p < 0.001). Delayed surgery > 6 hours was significantly associated with higher postoperative mortality (p = 0.014). Hospital stay was significantly shorter in patients operated ≤ 6 hours (p = 0.006). Patients operated ≤ 6 hours showed significantly favorable functional recovery both at discharge (p = 0.010) and after 1 month of follow-up (p = 0.023). Conclusion Timely surgical intervention for large volume traumatic EDH is the gold standard. Early surgery “within 6 hours from trauma” not only can save patients' life but also is significantly associated with postoperative favorable clinical recovery, low morbidity, and short hospital stay.

show abstract

Section: Time To Surgery and Postoperative Hospital Coursecontrasting

confidence: 99%

Impact of Time from Injury to Surgery on Postoperative Functional Recovery in Large Volume Traumatic Extradural Hematomas

Elkholy,

Elnoamany,

Ammar

2024

Indian Journal of Neurotrauma

View full text Add to dashboard Cite

show abstract

“…Bailly et al [28] showed that the risk of injury to cervical spines was higher in patients with TBI (4.5%) than in those with no head injury (1.1). In light of these recent reports (including our study) and in accordance with their experience with flexion-extension (F-E) studies, their use was limited to patients with highrisk, those with severe injury according to GCS score (3)(4)(5)(6)(7)(8), those involved in trauma related to vehicles and those with severe associated injuries. Because the analysis of our data and the above studies suggested that patients with mild and moderate GCS score with non-vehicular-related trauma and no or less severe associated injuries have significantly low risk of having an unstable injury to cervical spine, we can limit the use of F-E studies in patients meeting these criteria.…”

Section: Discussionmentioning

confidence: 85%

“…Focusing on GCS for all patients was at the top of priorities. The TBI was considered mild if GCS was 13-15) moderate if GCS was 9-12, while severe if GCS was 3-8 [3]. A checking for a probability of cervical injury was done by obtaining cervical spine x-ray and CT scan once the clinical decision was taken.…”

Section: Patientsmentioning

confidence: 99%

See 1 more Smart Citation

The role of computed tomography and Glasgow Coma Scale in detecting spinal injury associated with traumatic brain injuries

Merza

Lafta

2022

Medicine and Pharmacy Reports

View full text Add to dashboard Cite

Objectives. The aim of this study is to identify the role of computed tomography scan (CT scan) of the cervical spine and Glasgow Coma Scale (GCS) in detecting spinal injuries associated with head injury. Methods. This cross sectional study was conducted in the emergency department of Baghdad teaching hospital prospectively from October 2016 to October 2017. A total of 469 patients were included in this study, 59 of them with spine injury. All patients were examined promptly and were treated accordingly; all were subjected to X-rays and CT-scan of the skull and cervical spine for evaluation of head and cervical spinal injury, respectively. Results. A total of 469 patients were enrolled in this study, mean age of 42.6 ± 13.7 years. The majority of patients were male (383/469) representing 81.7%. There was a significant correlation between Severity of TBI and cervical injury (P<0.001). There was a significant association between cervical injury and the presence of clinical and radiographic findings and associated injuries (P<0.001). It was found that cervical injury was more frequent in patients who were exposed to fall from a height. Conclusion. CT scan and Glasgow coma scale are highly specific, sensitive, and accurate, with positive and negative predictive values.

show abstract

“…TBI is classified according to the clinical assessment of a patient’s conscious level [ 2 , 3 ]. The current classification system, based on the Glasgow Coma Scale (GCS), divides TBI into mild (GCS 14 to 15), moderate (GCS 9 to 13), and severe (GCS 3 to 8) [ 4 ]. In the severe type, mortality rate approaches 40%, with most deaths occurring in the first 48 hours after injury [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

Factors associated with the severity of traumatic brain injury

Lafta

Sbahi

2023

Medicine and Pharmacy Reports

View full text Add to dashboard Cite

Introduction. Traumatic brain injury (TBI) is a defect in the brain function resulting from the action of external factors. The condition ranges from transient shifts in cellular ionic concentrations to total structural damage; the clinical symptoms can vary from brief confusion to death. The current classification system, based on the Glasgow Coma Scale (GCS), divides TBI into mild (GCS 14 to 15), moderate (GCS 9 to 13), and severe TBI (GCS 3 to 8). The leading causes of head injury in the population can be falls, motor vehicle collisions, blasts, and bullet injuries. The ultimate survival and neurologic outcome of the head trauma patient depend on the extent of TBI occurring at the time of injury. The aim of the study is to assess the factors associated with brain injury and their effect on its severity. Method. A cross sectional, retrospective study including 469 adult patients with head injury was carried out in the emergency department of Baghdad teaching hospital between 1 October 2016 - 30 October 2017. Data of all the patients were entered and analyzed using the statistical package for social sciences (SPSS) software for Windows, version 24. The significance of correlation was assessed using a Chi-square test. Level of significance was set at ≤ 0.05. Final findings were presented in tables with an explanatory paragraph for each table using the MS. Office (Word 2013) for Windows. Results. A total number of 469 patients were enrolled in this study with a mean age of 42.6 ± 13.7 years. The vast majority of the patients were males (383/469), which represented 81.7%. The male to female ratio was 4.45 to 1. The distribution of the patients according to their traumatic brain injury was 241 patients (51.4%) with mild, 99 (21.1%) with moderate and 129 (27.5%) with severe TBI. Associated injuries among the studied group were facial injuries in 133 (28.4%), skull fracture in 150 (32%), and thoracolumbar fracture in 51 (10.9%). The associated injuries were more frequent in the extremities - 112/469 (23.9%), combined injuries in 112 (23.9%), chest and abdomen injuries were reported in only 6% and 6.8%, respectively. The causes of injuries in the studied group were road traffic accidents (RTA), the most frequent mechanism - 37.1% of the cases, followed by fall from height (FFH) (23.9%), blast injury (16.8%), bullet injury (13%), while other mechanisms represented only (9.2%). There is a significant association reported with gender, where severe injuries were more frequent among males than females (P=0.014). All associated injuries were significantly associated with severe traumatic brain injury (P<0.05), also bullet injury was significantly associated with severe traumatic brain injury, followed by blast injury (P<0.001). Severe traumatic brain injury was significantly associated with the presence of clinical and radiographic findings (P<0.001). Conclusion. The severity of TBI is significantly related to the type of the associated injury, mechanism of injury, clinical and radiological findings, and to the male gender, while it is not dependent on the age of the patient.

show abstract

Factors affecting outcomes of surgically treated patients with cranial extradural hematoma: A cross-sectional study

Cited by 3 publications

References 1 publication

Impact of Time from Injury to Surgery on Postoperative Functional Recovery in Large Volume Traumatic Extradural Hematomas

Impact of Time from Injury to Surgery on Postoperative Functional Recovery in Large Volume Traumatic Extradural Hematomas

The role of computed tomography and Glasgow Coma Scale in detecting spinal injury associated with traumatic brain injuries

Factors associated with the severity of traumatic brain injury

Contact Info

Product

Resources

About