Decompressive craniectomy for acute subdural haematoma: An overview of current prognostic factors and a discussion about some novel prognostic parametres

Objective: To identify specific factors that can be used to predict functional outcome and to assess the value of decompressive craniectomy in patients with acute subdural haematoma. Methods: The retrospective study was done at the Zonguldak Karaelwas University Practice and Research Hospital, Turkey, and included 34 trauma patients who had undergone decompressive craniectomy for acute subdural haematoma from 2001 to 2009. At the 30th day of the operation, the patients were grouped as survivors and non-survivors. Besides, based on their Glasgow Outcome Scale, which was calculated 6 months post-operatively, the patients were divided into two functional groups: favourable outcomes (4-5 on the scale), and unfavourable outcomes (1-3 on the scale). The characteristics of the groups were compared using SPSS 15 for statistical analysis. Results: One-month mortality was 38.2% (n=13) and 6-month total mortality reached 47% (n=16). Patients with higher pre-operative revised trauma score, Glasgow coma scale, partial anterial pressure of carbon dioxide, arterial oxygen pressure, Charlson co-morbidity index score, blood glucose level, blood urea nitrogen, and lower age had a higher rate of survival and consequently a favourable outcome. Higher platelet values were only found to be a determinant of higher survival at the end of the first month without having any significant effect on the favourable outcome. Conclusion: In patients of traumatic acute subdural haematoma whose Glasgow coma scale on arrival was <= 8, a massive craniectomy along with the evacuation of the haematoma, may be considered as a treatment option for intra-operative and post-operative brain swelling. But in patients with a score of 3 on arrival and bilaterally fixed and dilated pupils, decompressive craniectomy is unnecessary.

Yazar Kalayci, Murat
Aktunc, Erol
Gul, Sanser
Hanci, Volkan
Edebali, Nurullah
Cagavi, Ferda
Acikgoz, Bektas
Yayın Türü Article
Tek Biçim Adres https://hdl.handle.net/20.500.12628/2341
Konu Başlıkları Acute subdural haematoma
Trauma
Decompressive craniectomy
Outcome
Koleksiyonlar Araştırma Çıktıları | WoS | Scopus | TR-Dizin | PubMed | SOBİAD
PubMed İndeksli Yayınlar Koleksiyonu
WoS İndeksli Yayınlar Koleksiyonu
Dergi Adı JOURNAL OF THE PAKISTAN MEDICAL ASSOCIATION
Dergi Cilt Bilgisi 63
Dergi Sayısı 1
Sayfalar 38 - 49
Yayın Yılı 2013
Eser Adı
[dc.title]
Decompressive craniectomy for acute subdural haematoma: An overview of current prognostic factors and a discussion about some novel prognostic parametres
Yazar
[dc.contributor.author]
Kalayci, Murat
Yazar
[dc.contributor.author]
Aktunc, Erol
Yazar
[dc.contributor.author]
Gul, Sanser
Yazar
[dc.contributor.author]
Hanci, Volkan
Yazar
[dc.contributor.author]
Edebali, Nurullah
Yazar
[dc.contributor.author]
Cagavi, Ferda
Yazar
[dc.contributor.author]
Acikgoz, Bektas
Yayın Yılı
[dc.date.issued]
2013
Yayıncı
[dc.publisher]
PAKISTAN MEDICAL ASSOC
Yayın Türü
[dc.type]
article
Özet
[dc.description.abstract]
Objective: To identify specific factors that can be used to predict functional outcome and to assess the value of decompressive craniectomy in patients with acute subdural haematoma. Methods: The retrospective study was done at the Zonguldak Karaelwas University Practice and Research Hospital, Turkey, and included 34 trauma patients who had undergone decompressive craniectomy for acute subdural haematoma from 2001 to 2009. At the 30th day of the operation, the patients were grouped as survivors and non-survivors. Besides, based on their Glasgow Outcome Scale, which was calculated 6 months post-operatively, the patients were divided into two functional groups: favourable outcomes (4-5 on the scale), and unfavourable outcomes (1-3 on the scale). The characteristics of the groups were compared using SPSS 15 for statistical analysis. Results: One-month mortality was 38.2% (n=13) and 6-month total mortality reached 47% (n=16). Patients with higher pre-operative revised trauma score, Glasgow coma scale, partial anterial pressure of carbon dioxide, arterial oxygen pressure, Charlson co-morbidity index score, blood glucose level, blood urea nitrogen, and lower age had a higher rate of survival and consequently a favourable outcome. Higher platelet values were only found to be a determinant of higher survival at the end of the first month without having any significant effect on the favourable outcome. Conclusion: In patients of traumatic acute subdural haematoma whose Glasgow coma scale on arrival was <= 8, a massive craniectomy along with the evacuation of the haematoma, may be considered as a treatment option for intra-operative and post-operative brain swelling. But in patients with a score of 3 on arrival and bilaterally fixed and dilated pupils, decompressive craniectomy is unnecessary.
Açıklama
[dc.description]
WOS: 000312677900010
Açıklama
[dc.description]
PubMed: 23865130
Kayıt Giriş Tarihi
[dc.date.accessioned]
2019-12-23
Açık Erişim Tarihi
[dc.date.available]
2019-12-23
Yayın Dili
[dc.language.iso]
eng
Konu Başlıkları
[dc.subject]
Acute subdural haematoma
Konu Başlıkları
[dc.subject]
Trauma
Konu Başlıkları
[dc.subject]
Decompressive craniectomy
Konu Başlıkları
[dc.subject]
Outcome
Haklar
[dc.rights]
info:eu-repo/semantics/closedAccess
ISSN
[dc.identifier.issn]
0030-9982
İlk Sayfa Sayısı
[dc.identifier.startpage]
38
Son Sayfa Sayısı
[dc.identifier.endpage]
49
Dergi Adı
[dc.relation.journal]
JOURNAL OF THE PAKISTAN MEDICAL ASSOCIATION
Dergi Sayısı
[dc.identifier.issue]
1
Dergi Cilt Bilgisi
[dc.identifier.volume]
63
Tek Biçim Adres
[dc.identifier.uri]
https://hdl.handle.net/20.500.12628/2341
Görüntülenme Sayısı ( Şehir )
Görüntülenme Sayısı ( Ülke )
Görüntülenme Sayısı ( Zaman Dağılımı )
Görüntülenme
12
09.12.2022 tarihinden bu yana
İndirme
1
09.12.2022 tarihinden bu yana
Son Erişim Tarihi
11 Şubat 2024 04:45
Google Kontrol
Tıklayınız
patients haematoma craniectomy higher Glasgow outcome favourable decompressive subdural functional scale) outcomes arrival trauma groups survival mortality pressure platelet Higher consequently nitrogen Objective glucose co-morbidity Charlson oxygen arterial dioxide carbon anterial partial revised values effect
6698 sayılı Kişisel Verilerin Korunması Kanunu kapsamında yükümlülüklerimiz ve çerez politikamız hakkında bilgi sahibi olmak için alttaki bağlantıyı kullanabilirsiniz.

creativecommons
Bu site altında yer alan tüm kaynaklar Creative Commons Alıntı-GayriTicari-Türetilemez 4.0 Uluslararası Lisansı ile lisanslanmıştır.
Platforms