Retrospective clinical evaluation of patients undergoing surgery for acute epidural hematoma

Authors : Dursun TÜRKÖZ, Cem DEMİREL

Pages : 187-191

View : 47 | Download : 10

Publication Date : 2021-04-03

Article Type : Research Paper

Abstract :We aimed to evaluate mortality-associated factors among patients with acute epidural hematoma due to head trauma. Demographic characteristics, preoperative Glasgow ComaScale score, epidural hematoma aetiology and radiological findings, accompanying systemic trauma results, hospitalisation duration, sequelae, and mortality features of patients experiencing epidural hematoma between 2014 and 2018 were evaluated. Overall, 79 patients were examined. The most frequent epidural hematoma aetiology was traffic accidents insert ignore into journalissuearticles values(51.9%);, with temporal region being the most common epidural hematoma location insert ignore into journalissuearticles values(38 [48.2%] patients);. Amongall, 12 insert ignore into journalissuearticles values(15.2%); patients died and 67 insert ignore into journalissuearticles values(84.8%); were discharged. Of them, 57 insert ignore into journalissuearticles values(85.1%); patients were discharged without and 10 insert ignore into journalissuearticles values(14.9%); with neurological sequelae. Age>65 years insert ignore into journalissuearticles values(p=0.001); and low Glasgow ComaScale score insert ignore into journalissuearticles values(p<0.05); were significantly associated with lower mortality. Overall mortality rate was 91.7% insert ignore into journalissuearticles values(p<0.001); in patients with systemic trauma accompanying epidural hematoma, with thoracic insert ignore into journalissuearticles values(12%); and orthopaedic insert ignore into journalissuearticles values(9%); trauma being the most common. Cranial injuries included linear fracture, 78.5%; pneumocephalus, 48.1%; cerebral contusion, 44.3%; traumatic subarachnoid haemorrhage, 32.9%; acute subdural hematoma; 26.6%, and collapse fracture, 15%. All cranial injuries except linear fractures were associated with high mortality insert ignore into journalissuearticles values(p<0.05);. Epidural hematoma is associated with high mortality. Aetiology, Glasgow ComaScale score, cranial pathology, age, and additional trauma are the major predictive mortality-associated factors.
Keywords : Epidural hematoma, Glasgow ComaScale, Head trauma, Prognosis

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