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The difference in the outcome of surgery for traumatic extradural hematoma between patients who are admitted directly to the neurosurgical unit and those referred from another hospital

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Abstract

In this study of 120 cases that had surgery for traumatic extradural hematoma (EDH) at Frenchay Hospital, England, between 1975 and 1987, the author attempts to outline the influence on the outcome of surgery for EDH of whether the patient is admitted directly to the neurosurgical unit or via another hospital. Only 15% of the patients were admitted directly, while 85% were referred. The results show that although the directly admitted patients included significantly more unconscious patients exhibiting clinical signs of herniation, their outcome was not significantly worse. Therefore, in support of previous reports, it is recommended that all head injured patients be admitted to the primary care of neurosurgeons.

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References

  1. Bricolo AP, LM Pasut: Extradural haematoma toward zero mortality. A prospective study. Neurosurgery 14 (1984) 8–12

    PubMed  Google Scholar 

  2. Group of neurosurgeons: Guidelines for the management of recent head injury in adults. Br Med J 288 (1984)983–985

    Google Scholar 

  3. Jamjoom A: The influence of concomitant intradural pathology on the presentation outcome of patients with acute traumatic extradural haematoma. Acta Neurochir (Wien) 115 (1992) 86–89

    Google Scholar 

  4. Mendelow AD, MZ Karmi, KS Paul, GAG Fuller, FJ Gillingham: Extradural haematoma: Effect of delayed treatment. Br Med J. 1 (1979) 1240–1242

    PubMed  Google Scholar 

  5. Pooh WS, AKC Li: Comparison of management outcome of primary and secondary referred patients with traumatic extradural haematoma in a neurosurgical unit. Injury 4 (1991) 323–325

    Google Scholar 

  6. Rose J, S Valtonen, B Jennett Avoidable factors contributing to death after head injury. Br Med J 2 (1977) 615–618

    PubMed  Google Scholar 

  7. Simpson DA, JS Heyworth, AJ McClean: Extradural haemorrhage: Strategies for management in remote places. Injury 19 (1988) 307–312

    PubMed  Google Scholar 

  8. Yue CP, KS Mann, GB Ono: Analysis of mortality of extradural haematoma in a general surgical unit. Aus N Z J Surg 53 (1983) 85–88

    Google Scholar 

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Authors and Affiliations

  1. Neurosurgery, King Khalid University Hospital, P. O. Box 2925, 11461, Riyadh, Saudi Arabia

    Abdulhakim B. Jamjoom FRCS Ed SN (Associate Professor)

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  1. Abdulhakim B. Jamjoom FRCS Ed SN
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Jamjoom, A.B. The difference in the outcome of surgery for traumatic extradural hematoma between patients who are admitted directly to the neurosurgical unit and those referred from another hospital. Neurosurg. Rev. 20, 227–230 (1997). https://doi.org/10.1007/BF01105892

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  • DOI: https://doi.org/10.1007/BF01105892

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