ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2021
Factors with the strongest prognostic value associated with in-hospital mortality rate among patients operated for acute subdural and epidural hematoma.
Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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15 citing papers in PubMed.
- Clinical, Laboratory, and Radiological Predictors of Three-Month Outcome After Surgical Treatment of Acute Extra-Axial Hematomas.Journal of clinical medicine · 2026Article
- Article
- Risk Factor Analysis and Prognosis of Dysphagia in Craniocerebral Injury Patients: Implications for Targeted Nursing Strategies.Brain and behavior · 2026Article
- Extradural hematoma management: A case-control study with historical controls reassessing the 'zero mortality' goal.Brain & spine · 2026Article
- Glasgow Coma Scale Score at Admission in Traumatic Brain Injury Patients: A Multicenter Observational Analysis.Journal of clinical medicine · 2025Article
- Can Non-Neurosurgeons Operate on Traumatic Brain Injuries in Non-Metropolitan Areas? A Scoping Review.Emergency medicine Australasia : EMA · 2025Article
- Clinical study of computerized tomography angiography and computerized tomography perfusion in severe traumatic brain injury by a multicenter retrospective study.Scientific reports · 2025Article
- Incidence and mortality related risk factors in patients with severe traumatic brain injury: A meta‑analysis.Experimental and therapeutic medicine · 2025Article
- Evaluating the Efficacy of Longitudinal Coagulation Biomarkers to Predict in-Hospital Death in Comatose TBI Patients: A Time-Dependent Roc Curve Approach.Medical journal of the Islamic Republic of Iran · 2025Article
- Medical malpractice and epidural hematomas: a retrospective analysis of 101 cases in the United States.Annals of medicine and surgery (2012) · 2024Article
- Comparing Predictive Utility of Head Computed Tomography Scan-Based Scoring Systems for Traumatic Brain Injury: A Retrospective Study.Brain sciences · 2023Article
- The Characteristics of Withdrawal or Withholding of Life-Sustaining Treatment in Severe Traumatic Brain Injury: A Single Japanese Institutional Study.World neurosurgery: X · 2023Article
- Long-Term Outcomes in Severe Traumatic Brain Injury and Associated Factors: A Prospective Cohort Study.Journal of clinical medicine · 2022Article
- Medical Comorbidities Associated With Outcomes in Patients With Traumatic Epidural Hematomas.Cureus · 2021Article
- Traumatic Epidural and Subdural Hematoma: Epidemiology, Outcome, and Dating.Medicina (Kaunas, Lithuania) · 2021Review
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Abstract
introductionTraumatic brain injury (TBI) still remains a serious health problem and is called a "silent epidemic". Each year in Europe 262 per 100,000 individuals suffer from TBI. The most common consequence of severe head injuries include acute subdural (SDH) and epidural hematomas (EDH), which usually require immediate surgically treatment. The aim of our study is to identify factors which have the strongest prognostic value in relation to in-hospital mortality rate among of patients undergoing surgery for EDH and SDH. PATIENTS AND
methodsCohort included 128 patients with isolated craniocerebral injuries who underwent surgery for EDH (28 patients) and SDH (100 patients) in a single, tertiary care Department of Neurosurgery. The data were collected on admission of patients to the Emergency Department and retrospectively analyzed. The following factors were analyzed: demographic data, physiological parameters, laboratory variables, computed tomography scan characteristics and the time between trauma and surgery. Likewise, we have investigated the in-hospital mortality of patients at the time of discharge.
resultsWe found that the factors with the strongest prognostic values were: the initial GCS score, respiratory rate, glycaemia, blood saturation, systolic blood pressure, midline shift and type of hematoma. Additionally, we proved that a drop by one point in the GCS score almost doubles the risk of in-hospital death while the presence of coagulopathy increases the risk of in-hospital death almost six times.
conclusionMost of the factors with the strongest prognostic value are factors that the emergency team can treat prior to the hospital admission. Coagulopathy, however that has the strongest influence on in-hospital death rate can only be efficiently treated in a hospital setting.
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