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Progressive Epidural Hematoma in Patients with Head Trauma : Incidence, Outcome, and Risk Factors
Joint Authors
Gu, Yi
Wang, Gan
Guo, Yan
Chen, Jiong
Cao, He-Li
Chen, Hao
Chen, Shi-Wen
Tian, Heng-Li
Source
Emergency Medicine International
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-8, 8 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-12-18
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Abstract 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.
American Psychological Association (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
Modern Language Association (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
American Medical Association (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
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-448417