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Early Surgery Does Not Seem to Be a Pivotal Criterion to Improve Prognosis in Patients with Frontal Depressed Skull Fractures
Joint Authors
Paiva, Wellingson Silva
Sanders, Felipe Hada
Teixeira, Manoel Jacobsen
Andrade, Almir Ferreira de
Amorim, Robson Luis Oliveira De
Neville, Iuri Santana
Source
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-08-12
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Introduction.
There has been much debate about the ideal timing of surgery of frontal depressed skull fractures (DSF).
In this paper, we assess whether timing of surgery may have influenced outcome.
Methods.
Retrospective cohort of 40 consecutive patients with frontal DSF who underwent surgical treatment over a 36-month period.
The patients were divided into early surgery group (ESG) which were operated within 24 h and delayed surgery group (DSG).
Results.
The population comprised 39 (97.50%) men and the mean age was 27.9 years (range, 2–81 yr).
There was no difference of age (P=0.53), gender male (P=1.00), presence of focal lesion on head CT (P=0.89), hypotension (P=0.28), and hypoxia (P=0.15).
Mean Glasgow Coma Scale (GCS) was significantly lower in patients of ESG than DSG (8.75 and 11.7, resp., P=0.02).
There was no difference between the groups in relation to death (P=0.13), unfavourable outcome (P=0.41), late posttraumatic epilepsy (P=0.64), and smell-and-taste disturbances (P=1.00).
Only one patient (3.5%) evolved meningitis during follow-up.
Conclusion.
We found no difference between the ESG and DSG in respect to death, unfavourable outcome, LPE, and STD.
American Psychological Association (APA)
Neville, Iuri Santana& Amorim, Robson Luis Oliveira De& Paiva, Wellingson Silva& Sanders, Felipe Hada& Teixeira, Manoel Jacobsen& Andrade, Almir Ferreira de. 2014. Early Surgery Does Not Seem to Be a Pivotal Criterion to Improve Prognosis in Patients with Frontal Depressed Skull Fractures. BioMed Research International،Vol. 2014, no. 2014, pp.1-6.
https://search.emarefa.net/detail/BIM-505635
Modern Language Association (MLA)
Neville, Iuri Santana…[et al.]. Early Surgery Does Not Seem to Be a Pivotal Criterion to Improve Prognosis in Patients with Frontal Depressed Skull Fractures. BioMed Research International No. 2014 (2014), pp.1-6.
https://search.emarefa.net/detail/BIM-505635
American Medical Association (AMA)
Neville, Iuri Santana& Amorim, Robson Luis Oliveira De& Paiva, Wellingson Silva& Sanders, Felipe Hada& Teixeira, Manoel Jacobsen& Andrade, Almir Ferreira de. Early Surgery Does Not Seem to Be a Pivotal Criterion to Improve Prognosis in Patients with Frontal Depressed Skull Fractures. BioMed Research International. 2014. Vol. 2014, no. 2014, pp.1-6.
https://search.emarefa.net/detail/BIM-505635
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-505635