Evidence map›Paper›PMID 41167604›Full record

ArticleJournal of Korean Neurosurgical Society2026

Factors Associated with Delayed Intracranial Hemorrhage in Trauma Patients : A Retrospective Study at a Level I Trauma Center.

Juhong Park, Namkyu Yoo, Byung Hee Kang

Abstract read
In one paragraph

Article in Journal of Korean Neurosurgical Society, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
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0citing papers in PubMed
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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

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0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

3 authors.

Juhong ParkDivision of Trauma Surgery, Department of Surgery, Ajou University School of Medicine, Suwon, Korea.
Namkyu YooDepartment of Neurosurgery, Ajou University School of Medicine, Suwon, Korea.
Byung Hee KangDivision of Trauma Surgery, Department of Surgery, Ajou University School of Medicine, Suwon, Korea.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe indications for repeated brain computed tomography (CT) for delayed intracranial hemorrhage (DICH) remain inconclusive. This study aimed to identify the risk factors for DICH in patients with severe trauma.

methodsPatients with blunt trauma, admitted to a level I trauma center between January 2018 and June 2020, were retrospectively reviewed. Patients who underwent repeat brain CT but had a normal initial brain CT were included. The patients were divided into the DICH and normal groups, and their general characteristics and outcomes were compared. Multi-logistic regression analysis was performed to identify the risk factors. Patients with DICH were also interviewed.

resultsOf 784 patients, 37 (4.7%) were included in the DICH group. The DICH group presented with more severe injury. In multi-logistic regression, age over 65 years (odds ratio [OR], 2.681; 95% confidence interval [CI], 1.250-5.753; p=0.011), lowest systolic blood pressure under 90 mmHg during resuscitation (OR, 2.678; 95% CI, 1.247-5.750; p=0.012), severe abdominal injury (OR, 2.667; 95% CI, 1.213-5.864; p=0.015) and cervical spine fracture (OR, 2.408; 95% CI, 1.084-5.351; p=0.031) were associated with DICH. Among the 37 patients with DICH, one patient underwent an invasive procedure, and no mortality was reported.

conclusionThe incidence of DICH may be higher in patients with severe trauma and repeat brain CT could be considered in selected high-risk cases, even when the initial scan is normal.

Indexed as

Delayed diagnosisRisk factorsTraumatic brain hemorrhageTreatment outcome

Identifiers

PMID41167604
PMCPMC12790883

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