Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
Abstract
Traumatic extra dural hematomas (EDH) comprise 10‐12% of all head trauma admissions. Despite the knowledge that outcome from surgical decompression and repair is related directly to patients’ preoperative neurological condition, there is no specific trauma and epidemiologic prognostic factors related that can contribute to the patient’s follow‐up analysis and very few Indian studies are available on the same. We did a retrospective analysis in our institute of 82 cases of EDH to determine the prognostic factors in operated cases of EDH. Data was collected from the patient records using a standardized structured questionnaire. The data variables collected included gender, age, GCS on admission, time lapse between injury and surgery, midline shift, amount of EDH bleed. Numerical results were presented in means and standard deviation, median and at the 25th and 75th percentile and Values of p<0.05 were considered significant. In 82 cases, 56 were male, 26 were female. The mean age of presentation was 34. Most common etiology was RTA (76.8), assault (14.6%) and falls (6.5%). GCS on admission was 13‐15 in 28%, 9‐ 12 52%, <8 IN 19.5%. Average time to surgical intervention was 3 hours. Size of EDH was 30‐50 ml in 18%, 50‐80 ml in 58.5% and >80 ml in 23% cases. 86% of cases had good outcome, 9 % had some residual deficit and 5% mortality noted. Extra‐dural hematoma is one of the most injury seen after head injury. Timely surgical intervention can be lifesaving. The prognosis depend upon age of patient, GCS on presentation, size of EDH, time lag between trauma and surgical management and associated severity of other injuries.
How to cite this article:
Jaykumar D. Gunjkar, Karansinh R. Parve Patil and Harshwardhan B. Agashe. Prognostic Factors in Operated Cases of Extra Dural Haematoma: Our Institutional Experience.
DOI: https://doi.org/10.36478/10.36478/makrjms.2025.1.349.352
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2025.1.349.352