Outcome of traumatic Extradural Hematoma (EDH) using Glasgow Outcome Scale (GOS)

Prajapati, Dixit V.; Shah, Nimish J.

doi:10.18203/2349-2902.isj20184083

Cited by 4 publications

(4 citation statements)

References 7 publications

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“…Male patients predominated in the study, a trend consistent with wider demographic patterns in head injury incidents, likely due to increased male exposure to accidents and conflicts. The mean age of participants in this study was 27.04 ± 7.74 years, aligning with the findings of Prajapati et al, who also reported a similar mean age, highlighting the vulnerability of this age group to head injuries (1). The crucial role of prompt detection and surgical decompression of hematomas in improving patient outcomes was evident.…”

Section: Discussionsupporting

confidence: 90%

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Prognosis of Patients Having Post Traumatic Extra Dural Hematoma with and without Lucid Interval

Mumtaz,

Bokhari,

Akber

et al. 2023

JHRR

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Background: There is limited research in our country on the prognosis of patients with post-traumatic extradural hematoma, particularly in relation to the presence or absence of a lucid interval. Understanding this relationship is vital for effective surgical planning and family counselling. Objective: The study aimed to assess the prognosis of patients with post-traumatic extradural hematoma, focusing on the impact of a lucid interval on patient outcomes. Methods: This retrospective study, approved by the hospital's ethical committee, included 46 patients with post-traumatic extradural hematoma, both with and without a lucid interval. The study variables were age, gender, mechanism of injury, pupillary abnormalities, Glasgow Coma Scale (GCS) score upon admission, and presence of a lucid interval. Patient outcomes at discharge, including mortality, residual disabilities, and functional recovery, were documented. Data analysis was performed using SPSS 23, employing descriptive statistical methods. Results: The average age of patients was 27.04±7.74 years, with the majority (52.2%) aged between 21 and 30 years. Males constituted 84.8% of the study group. Regarding the GCS score, 23.9% of patients scored below 8. The study found that 37.0% of the patients experienced mortality, 23.9% had residual disabilities, and 58.7% achieved functional recovery. Notably, functional recovery was 50.0% in patients who experienced a lucid interval, compared to 90.0% in those who did not. Conclusion: The study concluded that patients with post-traumatic extradural hematoma who present without a lucid interval have a better prognosis than those with a lucid interval. The delay in timely management associated with a lucid interval leads to increased morbidity and mortality.

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Section: Discussionsupporting

confidence: 90%

“…Head injuries are a significant concern in emergency departments, representing about 3.4% of all visits, with an annual incidence rate of approximately 450 cases per 100,000 people (1). These injuries often lead to traumatic brain injury (TBI), with an incidence rate of 20-40 per 100,000 individuals annually (2).…”

Section: Introductionmentioning

confidence: 99%

Prognosis of Patients Having Post Traumatic Extra Dural Hematoma with and without Lucid Interval

Mumtaz,

Bokhari,

Akber

et al. 2023

JHRR

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“…Also, for initial hematoma volume more than 30ml; among 59 patients, 53(89.8%) patients recovered with favourable outcome. Outcome is much better than of adult patients 27,28 .…”

Section: Resultsmentioning

confidence: 90%

Surgical Outcome of EDH in Children: Our Observation in DMCH

Das

Rashid

Hasanuzzaman

et al. 2022

Bangladesh J Med Sci

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Background:Epidural hematoma (EDH) is accumulation of blood between the inner table of the skull and thedural membrane due to trauma and predominantly consists of venous blood in case ofchildren.Children with extradural hematoma (EDH) present differently than adults and outcome would also be different. Methods and Materials: This is a prospective interventional study done in the Department of Neurosurgery, Dhaka Medical College and Hospital (DMCH) in between period of January 2016 to December 2019. Children of both sex below 12 years of age with EDH were included after fulfilling inclusion and exclusion criteria. Follow up period was 1 month after surgery. Results: Among 90 patients, 73.3% were male and 26.7% were female. Age 5 - 12 years is most commonly affected among all age groups, attributing to 58.9%, fall from height was the most common cause (58.9%) followed by road traffic accident (32.2%), fall of heavy object over head (7.8%) etc. The most common symptom was vomiting which was present in 85.6% of patients followed by altered consciousness in 72.2%, headache in 60% and scalp swelling in 25.6% of patients. The follow-up of our patients was 1 month after surgery. Most of our patients made good recovery. Among them 73 patients (81.1%) were neurologically intact (GOS 5), 10 (11.1%) patients had some deficit but could do their daily activity independently (GOS 4), 03 patients (3.3%) was dependant on other for daily activity with cognitive deficit (GOS 3) and 4 patients (4.4%) died. Conclusion:EDH in children can be managed by surgery with good outcomes. Even in the presence of poor initial clinical and radiologic conditions, timely intervention can lead to a good recovery. Bangladesh Journal of Medical Science Vol. 21 No. 04 October’22 Page : 865-874

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“…EDH still remains a serious neurological condition (8,9,10). Extradural hematomas (EDH) accounts for 2.7-4% of traumatic brain injuries (TBI) and majority of the reported cases are in second or third decade of their life (11,12). Extradural hematoma (EDH) life threatening lesion in neurological surgery was killing at least four of five patients previously but in the modern era of computed brain imaging which is affording prompt, precise diagnosis in the trauma patients, EDH has become one of the disease conditions that may truly be called the delight of a neurosurgeon.…”

Section: Extradural Hematoma In Pakistanmentioning

confidence: 99%

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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Outcome of traumatic Extradural Hematoma (EDH) using Glasgow Outcome Scale (GOS)

Cited by 4 publications

References 7 publications

Prognosis of Patients Having Post Traumatic Extra Dural Hematoma with and without Lucid Interval

Prognosis of Patients Having Post Traumatic Extra Dural Hematoma with and without Lucid Interval

Surgical Outcome of EDH in Children: Our Observation in DMCH

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

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