Outcome of Surgically Treated Acute Traumatic Epidural Hematomas Based on the Glasgow Coma Scale

Ndoumbe, Aurélien; Ekeme, Martine Virginie Patience; Simeu, Chantal; Takongmo, S.

doi:10.4236/ojmn.2018.81009

Cited by 7 publications

(5 citation statements)

References 11 publications

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“…The findings of the study showed that GSC score of the patients at the time of admission is significantly associated with the outcome (p<0.001). The similar findings were noted in the study conducted by Ndoumbe A et al in which GCS score at the time of admission was strongly predictive for good or poor outcome (19). In this study GCS score of the patients at the time of surgery was also found to be significantly associated with outcome of EDH (p<0.001)Which is consistent with the findings of Khan MB et al in which they observed that time since trauma and surgery were directly related to outcomes and that surgical delay beyond 12 hours resulted in statistically significant worse outcomes (20).…”

Section: Discussionsupporting

confidence: 89%

Factors influencing Outcome of Extradural Hematoma in a Tertiary Care Hospital of Dera Ghazi Khan, Pakistan

et al. 2020

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Background: The outcome for this neurosurgical problem is still far from set target in many developing countries like Pakistan. Major proportion of cases presenting with EDH in hospital still has poor outcome. This poor outcome of EDH is attributed to many factors including weak health systems of most developing countries. Objective of study was to analyze factors influencing outcome among patients of head injury with an extradural hematoma before surgery admitted in neurosurgery department of Dera Ghazi Khan Medical College, Dera Ghazi Khan. Materials and Methods: This cross-sectional analytical study was conducted in neurosurgery department of Dera Ghazi Khan Medical College from January 2019 to December 2019 after ethical approval. All the patients with extradural hematoma of either gender admitted in the department during the study duration in which surgery was performed to evacuate extradural hematoma were included in the study. Data was collected by using preformed, pretested questionnaire. A vital signs and Glasgow coma scale record was maintained at thirty minutes interval. Computerized tomography was done in every patient. The EDH volume was calculated by using Peterson and Epperson equation a x b x c x 0.5. Data was entered and analyzed by using SPSS version 22. Chi square test was applied to observe any statistically significant difference between various strata if existed and p value <0.05 was taken as significant. Results: Total 237 patients with Extradural Hematoma (EDH) were admitted in neurosurgery department during the study period were included in study. More than half 136 (57.4%) patients were more or equal to the age of 18 years. Majority of the patients 218 (91.9%) in the study were male. Major cause of extradural hematoma among patients in this study was road traffic accident 154 (64.9%). The outcome of EDH was found to be significantly (p <0.001) associated with age of patients. More than ninety percent of the patients who were directly admitted to tertiary care hospital has good outcome as compared to 109 (60.2%) patients which were referred and difference in outcome was statistically significant (p<0.001). The volume of EDH is not significantly associated with the outcome (p=0.090). The GSC score of the patients at the time of admission is significantly associated with the outcome (p<0.001). Study findings showed that GCS score of the patients at the time of surgery was also found to be significantly associated with outcome of EDH (p<0.001). Conclusion: There is a strong association of outcome in extradural hematoma with age, gender and GCS of the patient. In higher GCS the outcome was excellent but in low GCS the outcome was poor.

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Section: Discussionsupporting

confidence: 89%

Factors influencing Outcome of Extradural Hematoma in a Tertiary Care Hospital of Dera Ghazi Khan, Pakistan

et al. 2020

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“…Other studies states that there is a correlation between patients GCS score with CT scan results in EDH patients [19]. Another research shows that there is a negative correlation between bleeding volume and GCS score in intracerebral haemorrhage patients who have a correlation value of 0.599 or shows a moderate correlation, whereas other research at North Phanom Hospital states that there is a significant correlation between GCS scores and bleeding volume in the incident of head injury with a p value <0.001.…”

Section: Discussionmentioning

confidence: 96%

Correlation Between Epidural Hematoma Volume in Temporal Region with Glasgow Coma Scale on Patients with Head Injury at Haji Adam Malik General Hospital Medan in the year of 2018

Pandiangan¹

2020

AANHS-J

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Epidural hematoma (EDH) is the type of intracranial haemorrhage due to head injury that occur most frequently. EDH volume usually stable and can reach the maximum volume in only a few minutes or hours after traumatized. EDH being attentive to the clinicians and researchers because of the enforcement diagnosis that is relatively easy and the rate of success in operation is quite high and EDH located in temporal region contributed to increasing the mortality due to respiratory arrest from uncal herniation because of brainstem compression. Measuring degrees severity EDH the most common and much worn in international is glasgow coma scale (GCS) because it has a high level of validity; reliability, sensitivity and specificity. This research was conducted to see correlation between EDH volume in temporal region with GCS in patients with head injury. Research conducted is analytic observation with cross-sectional approached study. The study sample is 45 epidural hematoma patients in temporal region at productive age (18-59 years) who had diagnosed and got the best act of resuscitating to know the score GCS at H. Adam Malik General Hospital in 2018 who had met the inclusion and exclusion criteria. The technique of taking data is consecutive sampling from medical record. Statistically there are negative relations between GCS to the volume of EDH patients based on the results of the CT scan (p<0,001, CI 95 %) with the 0,619 relations that is indicative of the strength of the relations which is very strong.

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“…Ndoumbe et al retrospectively analyzed 46 patients with traumatic AEDH based on GCS score. The results demonstrated that the GCS score was a good predictor of prognosis, and all survivors with unfavorable outcome had GCS ≤ 8 on admission ( 12 ). Our results showed that 52.94% of patients with swirl sign had a GSC score of 3–8 on admission, a percentage significantly higher than that of patients without swirl sign (21.93%).…”

Section: Discussionmentioning

confidence: 99%

Risk Factors and Prognostic Value of Swirl Sign in Traumatic Acute Epidural Hematoma

Wang

Yuan

et al. 2020

Front. Neurol.

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Outcome of Surgically Treated Acute Traumatic Epidural Hematomas Based on the Glasgow Coma Scale

Cited by 7 publications

References 11 publications

Factors influencing Outcome of Extradural Hematoma in a Tertiary Care Hospital of Dera Ghazi Khan, Pakistan

Factors influencing Outcome of Extradural Hematoma in a Tertiary Care Hospital of Dera Ghazi Khan, Pakistan

Correlation Between Epidural Hematoma Volume in Temporal Region with Glasgow Coma Scale on Patients with Head Injury at Haji Adam Malik General Hospital Medan in the year of 2018

Risk Factors and Prognostic Value of Swirl Sign in Traumatic Acute Epidural Hematoma

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