Management of acute subdural hematoma in incarcerated patients

Shahrestani, Shane; Strickland, Ben A.; Micko, Alexander; Brown, Nolan J.; Zada, Gabriel

doi:10.1016/j.clineuro.2020.106441

Cited by 1 publication

(5 citation statements)

References 14 publications

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“…While not all studies included a comparator group, 2 of the studies showed a shorter hospital length of stay for incarcerated patients. 17 , 21 The discrepancy in the length of stay may be influenced by the presence of prison infirmaries, but these distinctions and granularities are notably lacking in current studies.…”

Section: Resultsmentioning

confidence: 87%

“…Fifteen studies were from the United States, and 12 had IRB approval. Notably, 3 studies were exempted from IRB review (waived consent), 15 – 17 and 2 studies did not report their IRB status 18 , 19 (Supplemental Table 1, http://links.lww.com/AOSO/A345 ). Among the 12 studies with IRB approval, 6 included a waiver of consent, 13 , 20 – 24 while 6 did not report the status of consent waivers.…”

Section: Resultsmentioning

confidence: 99%

“…Among the 12 studies with IRB approval, 6 included a waiver of consent, 13 , 20 – 24 while 6 did not report the status of consent waivers. 25 – 30 Four studies identified incarcerated patients through International Classification of Diseases (ICD) codes: Y92:14 X (prion as location of injury) or E849.7 (injury occurring in residential institution), 17 , 18 , 21 , 23 4 used admission or discharge locations, 16 , 23 , 27 , 28 8 used prison referral or electronic medical record review, 13 , 19 , 22 , 24 – 26 , 29 , 30 1 used prison billing data, 15 and 1 used prospective identification during consultation. 20 Using the ROBINS-E tool risk of bias assessment, 70.6% of the studies had high or very high concerns for bias (Fig.…”

Section: Resultsmentioning

confidence: 99%

“…Twelve studies reported on nonelective surgeries: 1 on emergency general surgery, 16 8 on trauma, 15 , 17 , 19 , 21 , 23 , 25 , 29 , 30 1 on both trauma and emergency general surgery 20 and 2 on burn surgery. 18 , 27 For emergency general surgery, 3 studies described conditions, 13 , 16 , 20 with only 1 comparing postoperative outcomes to nonincarcerated individuals (Supplemental Table 3, http://links.lww.com/AOSO/A345 ).…”

Section: Resultsmentioning

confidence: 99%

“…Nevertheless, incarcerated females with subdural hematoma experienced significantly higher mortality (40% vs 6.4%; P = 0.0017) and higher 30-day readmission compared with incarcerated males (20% vs 7.4%; P = 0.041). 17 However, in the absence of clinical context surrounding the injuries of male and female incarcerated patients the conclusions drawn from these findings are limited.…”

Section: Resultsmentioning

confidence: 99%

See 4 more Smart Citations

Systematic Review of Surgical Care in the Incarcerated Population: Identifying Knowledge Gaps for Future Research

Dhimal,

Cupertino,

Ghaffar

et al. 2024

Annals of Surgery Open

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Objective: This study, examining literature up to December 2023, aims to comprehensively assess surgical care for incarcerated individuals, identifying crucial knowledge gaps for informing future health services research and interventions. Background: The US prison system detains around 2 million individuals, mainly young, indigent males from ethnic and racial minorities. The constitutional right to healthcare does not protect this population from unique health challenges and disparities. The scarcity of literature on surgical care necessitates a systematic review to stimulate research, improve care quality, and address health issues within this marginalized community. Methods: A systematic review, pre-registered with the International Prospective Register of Systematic Reviews (CRD42023454782), involved searches in PubMed, Embase, and Web of Science. Original research on surgical care for incarcerated individuals was included, excluding case reports/series (<10 patients), abstracts, and studies involving prisoners of war, plastic surgeries for recidivism reduction, transplants using organs from incarcerated individuals, and nonconsensual surgical sterilization. Results: Out of 8209 studies screened, 118 met inclusion criteria, with 17 studies from 16 distinct cohorts reporting on surgical care. Predominantly focusing on orthopedic surgeries, supplemented by studies in emergency general, burns, ophthalmology, and kidney transplantation, the review identified delayed hospital presentations, a high incidence of complex cases, and low postoperative follow-up rates. Notable complications, such as nonfusion and postarthroplasty infections, were more prevalent in incarcerated individuals compared with nonincarcerated individuals. Trauma-related mortality rates were similar, despite lower intraabdominal injuries following penetrating abdominal injuries in incarcerated patients. Conclusion: While some evidence suggests inferior surgical care in incarcerated patients, the limited quality of available studies underscores the urgency of addressing knowledge gaps through future research. This is crucial for patients, clinicians, and policymakers aiming to enhance care quality for a population at risk of surgical complications during incarceration and postrelease.

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Section: Resultsmentioning

confidence: 87%