Progressive Epidural Hematoma in Patients with Head Trauma : Incidence, Outcome, and Risk Factors
المؤلفون المشاركون
Gu, Yi
Wang, Gan
Guo, Yan
Chen, Jiong
Cao, He-Li
Chen, Hao
Chen, Shi-Wen
Tian, Heng-Li
المصدر
Emergency Medicine International
العدد
المجلد 2012، العدد 2012 (31 ديسمبر/كانون الأول 2012)، ص ص. 1-8، 8ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2012-12-18
دولة النشر
مصر
عدد الصفحات
8
التخصصات الرئيسية
الملخص EN
Progressive epidural hematoma (PEDH) after head injury is often observed on serial computerized tomography (CT) scans.
Recent advances in imaging modalities and treatment might affect its incidence and outcome.
In this study, PEDH was observed in 9.2% of 412 head trauma patients in whom two CT scans were obtained within 24 hours of injury, and in a majority of cases, it developed within 3 days after injury.
In multivariate logistic regression, patient gender, age, Glasgow Coma Scale (GCS) score at admission, and skull fracture were not associated with PEDH, whereas hypotension (odds ratio (OR) 0.38, 95% confidence interval (CI) 0.17–0.84), time interval of the first CT scanning (OR 0.42, 95% CI 0.19–0.83), coagulopathy (OR 0.36, 95% CI 0.15–0.85), or decompressive craniectomy (DC) (OR 0.46, 95% CI 0.21–0.97) was independently associated with an increased risk of PEDH.
The 3-month postinjury outcome was similar in patients with PEDH and patients without PEDH (χ2=0.07, P=0.86).
In conclusion, epidural hematoma has a greater tendency to progress early after injury, often in dramatic and rapid fashion.
Recognition of this important treatable cause of secondary brain injury and the associated risk factors may help identify the group at risk and tailor management of patients with TBI.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Chen, Hao& Guo, Yan& Chen, Shi-Wen& Wang, Gan& Cao, He-Li& Chen, Jiong…[et al.]. 2012. Progressive Epidural Hematoma in Patients with Head Trauma : Incidence, Outcome, and Risk Factors. Emergency Medicine International،Vol. 2012, no. 2012, pp.1-8.
https://search.emarefa.net/detail/BIM-448417
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Chen, Hao…[et al.]. Progressive Epidural Hematoma in Patients with Head Trauma : Incidence, Outcome, and Risk Factors. Emergency Medicine International No. 2012 (2012), pp.1-8.
https://search.emarefa.net/detail/BIM-448417
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Chen, Hao& Guo, Yan& Chen, Shi-Wen& Wang, Gan& Cao, He-Li& Chen, Jiong…[et al.]. Progressive Epidural Hematoma in Patients with Head Trauma : Incidence, Outcome, and Risk Factors. Emergency Medicine International. 2012. Vol. 2012, no. 2012, pp.1-8.
https://search.emarefa.net/detail/BIM-448417
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-448417
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر