Assessment of outcome in surgically treated traumatic extradural haematoma patients

IF 0.6 Q3 Medicine

Indian Journal of Otolaryngology and Head and Neck Surgery Pub Date : 2022-10-15 DOI:10.18231/j.ijashnb.2022.021

B. Kapoor, M. Kapoor, Parul Vaid

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引用次数: 0

Abstract

In approximately 2% of all patients with head injuries, Extradural haematoma occurs. Immediate diagnosis and surgical evacuation is usually required. Outcome in patient with EDH can be assessed using Glasgow outcome score (GOS). Five parameters of outcome we have measured in our study are - good recovery, moderate disability, severe disability, vegetative state and death. Assessment of outcome of patient by using Glasgow outcome score (GOS) and assessing the outcome with respect to the initial GCS at admission was done. Most (51.42%) of the patients were in the age group of 16-31 years. RTA was the most common (51.42%) cause for EDH occurrence. Most of the patients (57.14%) had GCS of 13-15 in our study. Majority of the patients (68.57%) had a Glasgow outcome score of 5, indicating a good outcome. 51.42% of patients having a GCS of 13-15 had a good outcome, whereas 11.42% of patients having GCS of 9-12 and 5.71% of patients having GCS of ≤ 8 had good outcome. EDH is one of the most serious complications in head injury. It requires immediate diagnosis and management. Urgent surgical intervention improves the outcome Mild head injury patients (GCS 13-15) have good outcome (GOS 5) as compared to with severe head injury (GCS ≤ 8) patients. Lower GCS patients have poor outcome.

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外伤性硬膜外血肿手术治疗的疗效评价

大约2%的头部损伤患者发生硬膜外血肿。通常需要立即诊断和手术撤离。EDH患者的预后可使用格拉斯哥预后评分(GOS)进行评估。我们在研究中测量的结果的五个参数是:良好恢复、中度残疾、严重残疾、植物人状态和死亡。采用格拉斯哥预后评分(GOS)对患者的预后进行评估，并对入院时的初始GCS进行评估。16 ~ 31岁年龄组占51.42%。RTA是EDH发生的最常见原因(51.42%)。在我们的研究中，大多数患者(57.14%)的GCS为13-15。大多数患者(68.57%)的格拉斯哥预后评分为5分，表明预后良好。GCS为13-15的患者预后良好的比例为51.42%，GCS为9-12的患者预后良好的比例为11.42%，GCS≤8的患者预后良好的比例为5.71%。EDH是颅脑损伤最严重的并发症之一。它需要立即诊断和治疗。与严重颅脑损伤患者(GCS≤8)相比，轻度颅脑损伤患者(GCS 13-15)的预后(GOS 5)较好。低GCS患者预后较差。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Indian Journal of Otolaryngology and Head and Neck Surgery Medicine-Otorhinolaryngology

CiteScore

0.90

自引率

0.00%

发文量

226

审稿时长

3 months

期刊介绍： Indian Journal of Otolaryngology and Head & Neck Surgery was founded as Indian Journal of Otolaryngology in 1949 as a scientific Journal published by the Association of Otolaryngologists of India and was later rechristened as IJOHNS to incorporate the changes and progress. IJOHNS, undoubtedly one of the oldest Journals in India, is the official publication of the Association of Otolaryngologists of India and is about to publish it is 67th Volume in 2015. The Journal published quarterly accepts articles in general Oto-Rhino-Laryngology and various subspecialities such as Otology, Rhinology, Laryngology and Phonosurgery, Neurotology, Head and Neck Surgery etc. The Journal acts as a window to showcase and project the clinical and research work done by Otolaryngologists community in India and around the world. It is a continued source of useful clinical information with peer review by eminent Otolaryngologists of repute in their respective fields. The Journal accepts articles pertaining to clinical reports, Clinical studies, Research articles in basic and applied Otolaryngology, short Communications, Clinical records reporting unusual presentations or lesions and new surgical techniques. The journal acts as a catalyst and mirrors the Indian Otolaryngologist’s active interests and pursuits. The Journal also invites articles from senior and experienced authors on interesting topics in Otolaryngology and allied sciences from all over the world. The print version is distributed free to about 4000 members of Association of Otolaryngologists of India and the e-Journal shortly going to make its appearance on the Springer Board can be accessed by all the members. Association of Otolaryngologists of India and M/s Springer India group have come together to co-publish IJOHNS from January 2007 and this bondage is going to provide an impetus to the Journal in terms of international presence and global exposure.