Prevalence of Subdural and Epidural Hematoma in Head Trauma Patients: A Cross-sectional Study
Background: Epidural hematoma (EDH) and subdural hematoma (SDH) are common complications after traumatic brain injury. Intracranial hematomas can be without complications or associated with life-threatening conditions, including midline shift, cerebral edema, intracerebral ischemia, and increased in...
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| Format: | Article |
| Language: | English |
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Hormozgan University of Medical Sciences
2024-01-01
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| Series: | Disease and Diagnosis |
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| Online Access: | https://ddj.hums.ac.ir/PDF/ddj-13-1.pdf |
| _version_ | 1827377597025091584 |
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| author | Reza Morovatshoar Seyed Ashkan Tabibzadeh Dezfouli Saeed Hosseini Teshnizi MohammadHosein Sheybani-Arani Fatemeh Khajavi-Mayvan Ali Salimi Asl Maryam Sahafibandary Reza Yazdani |
| author_facet | Reza Morovatshoar Seyed Ashkan Tabibzadeh Dezfouli Saeed Hosseini Teshnizi MohammadHosein Sheybani-Arani Fatemeh Khajavi-Mayvan Ali Salimi Asl Maryam Sahafibandary Reza Yazdani |
| author_sort | Reza Morovatshoar |
| collection | DOAJ |
| description | Background: Epidural hematoma (EDH) and subdural hematoma (SDH) are common complications after traumatic brain injury. Intracranial hematomas can be without complications or associated with life-threatening conditions, including midline shift, cerebral edema, intracerebral ischemia, and increased intracranial pressure. This study aimed to investigate the prevalence of EDH and SDH in patients with head trauma attending the emergency department. Materials and Methods: This descriptive cross-sectional study included 146 patients with head trauma referred to the Emergency Department of Shahid Mohammadi Hospital, Bandar Abbas, in 2021. Patients’ data, including age, gender, Glasgow Coma Scale (GCS) on admission, mechanism of trauma, type of hematoma, length of intensive care unit (ICU) stay, outcome (recovery/death), and neurosurgery requirements were extracted from their medical files. Results: The mean age of the participants was 20.97±15.05 years, of whom 114 (78.1%) were male. EDH and SDH were observed in 7.5% and 11% of patients, respectively. The most common mechanism of trauma was traffic accidents (39%), followed by falls (28.1%) and assaults (13%). Moreover, 11% of the patients needed neurosurgical intervention. Most patients recovered (95.9%), and 4.1% died. The mean GCS on admission was 13.47±2.34. Furthermore, SDH was significantly higher in the patients who died (P=0.001) and those aged≥18 years (P=0.028). Conclusion: The results of the current study showed a higher prevalence of SDH compared to that of EDH. Both hematoma types appeared to correlate with the mechanism of trauma, ICU admission, GCS on admission, and neurosurgery requirement, while SDH was associated with age and death. |
| first_indexed | 2024-03-08T12:41:27Z |
| format | Article |
| id | doaj.art-8996ac23597d49c5b4db5f0eb7803b3f |
| institution | Directory Open Access Journal |
| issn | 2717-3232 |
| language | English |
| last_indexed | 2024-03-08T12:41:27Z |
| publishDate | 2024-01-01 |
| publisher | Hormozgan University of Medical Sciences |
| record_format | Article |
| series | Disease and Diagnosis |
| spelling | doaj.art-8996ac23597d49c5b4db5f0eb7803b3f2024-01-21T11:07:48ZengHormozgan University of Medical SciencesDisease and Diagnosis2717-32322024-01-011311510.34172/ddj.2023.481ddj-481Prevalence of Subdural and Epidural Hematoma in Head Trauma Patients: A Cross-sectional StudyReza Morovatshoar0Seyed Ashkan Tabibzadeh Dezfouli1Saeed Hosseini Teshnizi2MohammadHosein Sheybani-Arani3Fatemeh Khajavi-Mayvan4Ali Salimi Asl5Maryam Sahafibandary6Reza Yazdani7Student Research Committee, Faculty of Medicine, Hormozgan University of Medical Sciences, Bandar Abbas, IranTrauma and Emergency Medicine Research Center, Hormozgan University of Medical Sciences, Bandar Abbas, IranDepartment of Biostatistics, Shiraz University of Medical Sciences, Shiraz, IranStudent Research Committee, Faculty of Medicine, Hormozgan University of Medical Sciences, Bandar Abbas, IranStudent Research Committee, Faculty of Medicine, Hormozgan University of Medical Sciences, Bandar Abbas, IranStudent Research Committee, Faculty of Medicine, Hormozgan University of Medical Sciences, Bandar Abbas, IranStudent Research Committee, Faculty of Medicine, Hormozgan University of Medical Sciences, Bandar Abbas, IranTrauma and Emergency Medicine Research Center, Hormozgan University of Medical Sciences, Bandar Abbas, IranBackground: Epidural hematoma (EDH) and subdural hematoma (SDH) are common complications after traumatic brain injury. Intracranial hematomas can be without complications or associated with life-threatening conditions, including midline shift, cerebral edema, intracerebral ischemia, and increased intracranial pressure. This study aimed to investigate the prevalence of EDH and SDH in patients with head trauma attending the emergency department. Materials and Methods: This descriptive cross-sectional study included 146 patients with head trauma referred to the Emergency Department of Shahid Mohammadi Hospital, Bandar Abbas, in 2021. Patients’ data, including age, gender, Glasgow Coma Scale (GCS) on admission, mechanism of trauma, type of hematoma, length of intensive care unit (ICU) stay, outcome (recovery/death), and neurosurgery requirements were extracted from their medical files. Results: The mean age of the participants was 20.97±15.05 years, of whom 114 (78.1%) were male. EDH and SDH were observed in 7.5% and 11% of patients, respectively. The most common mechanism of trauma was traffic accidents (39%), followed by falls (28.1%) and assaults (13%). Moreover, 11% of the patients needed neurosurgical intervention. Most patients recovered (95.9%), and 4.1% died. The mean GCS on admission was 13.47±2.34. Furthermore, SDH was significantly higher in the patients who died (P=0.001) and those aged≥18 years (P=0.028). Conclusion: The results of the current study showed a higher prevalence of SDH compared to that of EDH. Both hematoma types appeared to correlate with the mechanism of trauma, ICU admission, GCS on admission, and neurosurgery requirement, while SDH was associated with age and death.https://ddj.hums.ac.ir/PDF/ddj-13-1.pdfsubdural hematomaepidural hematomahead traumaemergency department |
| spellingShingle | Reza Morovatshoar Seyed Ashkan Tabibzadeh Dezfouli Saeed Hosseini Teshnizi MohammadHosein Sheybani-Arani Fatemeh Khajavi-Mayvan Ali Salimi Asl Maryam Sahafibandary Reza Yazdani Prevalence of Subdural and Epidural Hematoma in Head Trauma Patients: A Cross-sectional Study Disease and Diagnosis subdural hematoma epidural hematoma head trauma emergency department |
| title | Prevalence of Subdural and Epidural Hematoma in Head Trauma Patients: A Cross-sectional Study |
| title_full | Prevalence of Subdural and Epidural Hematoma in Head Trauma Patients: A Cross-sectional Study |
| title_fullStr | Prevalence of Subdural and Epidural Hematoma in Head Trauma Patients: A Cross-sectional Study |
| title_full_unstemmed | Prevalence of Subdural and Epidural Hematoma in Head Trauma Patients: A Cross-sectional Study |
| title_short | Prevalence of Subdural and Epidural Hematoma in Head Trauma Patients: A Cross-sectional Study |
| title_sort | prevalence of subdural and epidural hematoma in head trauma patients a cross sectional study |
| topic | subdural hematoma epidural hematoma head trauma emergency department |
| url | https://ddj.hums.ac.ir/PDF/ddj-13-1.pdf |
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