Traumatic Epidural Hematoma in Emergency Department

Authors : Yeliz Simsek, Gonca Şahin

Pages : 155-159

Doi:10.54996/anatolianjem.1197285

View : 71 | Download : 65

Publication Date : 2023-12-29

Article Type : Research Paper

Abstract :Aim: In our study, we investigated the incidence, demographic, and clinical characteristics of patients who were diagnosed with Epidural Hematoma (EH). Thus, we aim to contribute to the definition of risk classification and prognostic factors. Material and Methods: Patients who were admitted to the emergency department and diagnosed with EH over the age of 17 were screened retrospectively between January 1, 2020 and May 30, 2022. The demographic data, physiological parameters, the Glasgow Coma Score (GCS), computed tomography scan result, treatment decision, and the Glasgow Outcome Score (GOS) of patients were analyzed. The Chi-square test was used to analyze categorical variables. The Spearman correlation test, Mann-Whitney U-test, and Independent Sample test were used to analyze continuous variables. Based on significant factors in univariate analysis, a Receiver Operating Characteristic (ROC) curve was calculated and The Area Under Curve (AUC) value was found. P<0.05 was considered statistically significant. Results: Twenty-eight (90.3%) of 31 patients were male. The maximum age of patients was in the third decade. The majority of patients had mild head injuries (51.6%). Nineteen (61.3%) patients had isolated EH. EH was mostly located in the temporal region (67.7%). Of 31 patients, eight (25.8%) had a depressed fracture, and 15 (48.4%) had a nondepressed fracture. Emergency surgery was performed in 11 (35.5%) of the patients. There was a significant relationship between the age and the presence of fractures (p=0.009). We found a significant relationship between the GCS and depressed fracture, treatment decision, and length of hospital stay (p=0.042, p=0.002, p=0.042). A significant correlation was found between the GOS and the GCS (p=0.012). Conclusion: EH is more common in young adults. A cranial fracture may be a sign for the EH. The GCS is important for prognosis in EH patients.
Keywords : Epidural hematom, acil servis, glasgow koma skoru