Evidence map›Paper›PMID 39440737›Full record

ArticleJournal of injury & violence research2024

Factors influencing hematoma expansion in delayed brain CT scans of patients with traumatic Epidural Hematoma.

Iran Chanideh, Mohammad Reza Akrami, Seyed Erfan Farsian, Maasoumeh Abbasi, Masoud Ghadiri, Tahereh Mohammadi Majd, Tayebeh Najafi, Saeed Gharooee Ahangar

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Article in Journal of injury & violence research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Iran ChanidehClinical Research Development Center, Taleqani and Imam Ali Hospitals, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Mohammad Reza AkramiClinical Research Development Center, Taleqani and Imam Ali Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Seyed Erfan FarsianClinical Research Development Center, Taleqani and Imam Ali Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Maasoumeh AbbasiClinical Research Development Center, Taleqani and Imam Ali Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Masoud GhadiriStudent Research Committee, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Tahereh Mohammadi MajdClinical Research Development Center, Taleqani and Imam Ali Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Tayebeh NajafiDepartment of Research and Technology, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Saeed Gharooee AhangarClinical Research Development Center, Taleqani and Imam Ali Hospitals, Kermanshah University of Medical Sciences, Kermanshah, Iran.Email: saeedgharooee@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEpidural hematoma (EDH) is a type of intracranial hematoma commonly observed in trauma patients. This research aims to evaluate the factors contributing to the expansion of traumatic epidural hematoma (EDH).

methodsThis retrospective cohort study examined traumatic patients with EDH admitted to Taleqani Hospital, a prominent Western Trauma Center in Iran, from 2018 to 2023. Patients underwent an initial CT scan, and non-surgical patients received a delayed CT scan approximately 5 hours after the initial scan. Data analysis was performed using SPSS version 25 software.

resultsThe study included 274 brain trauma patients with epidural hematoma. Among these patients, 142 (51.8%) did not undergo surgery, and 121 (85.2%) of the non-surgical patients were male. Motor vehicle accidents (MVAs) were the primary cause of EDH in 127 (46.4%) patients. The mean (±standard deviation) initial hematoma size was 8.86 (±9.71), and the mean (±standard deviation) delayed CT scan size was 8.12 (±8.10). In crude linear regression Two variables, namely Hematoma volume in the initial CT scan (P less than 0.001) and Mixed Density (P=0.007), were found to significantly impact the increase in hematoma size in delayed CT scans of non-surgical patients. But in the adjusted linear regression model, only the Hematoma volume in primary CT scan, was significant (P less 0.001). The R Square values were 0.72.

conclusionsThe identification of key variables influencing hematoma volume in delayed CT scans has the potential to guide more effective interventions, thereby improving patient outcomes and reducing trauma-related mortality.

Indexed as

Brain Injuries, TraumaticHematoma, Epidural, CranialTomography, X-Ray ComputedAccidents, TrafficAdolescentAdultAgedFemaleHumansIranMaleMiddle AgedRetrospective StudiesTrauma CentersYoung Adult

Identifiers

PMID39440737
PMCPMC12646351

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