Analyses of clinical prognostic factors in operated traumatic acute subdural hematomas
Yıl: 2010 Cilt: 16 Sayı: 3 Sayfa Aralığı: 233 - 236 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022
Analyses of clinical prognostic factors in operated traumatic acute subdural hematomas
Öz: AMAÇ Travmaya bağlı akut subdural kanamalar kafa travma tanıları arasında en ölümcül olanıdır. GEREÇ VE YÖNTEM Bu çalışmada 1998 ile 2006 yılları arasında travma sonrası akut subdural kanama tanısı ile ameliyat edilen 113 hasta geriye yönelik olarak incelendi. Başvuru sırasındaki Glasgow Koma Skalası (GKS) Skoru, hasta yaşı, travma ile ameliyat arasında geçen süre ve pupilla reaksiyonundaki anormalliklerin mortalite ve morbidite üzerindeki etkilerini saptamak amacıyla istatistiksel analiz yapıldı. BULGULAR Elde edilen sonuçlar güncel literatürle karşılaştırılarak tartışıldı. Yüz on üç hastadaki toplam mortalite %56,6 olarak bulundu. SONUÇ Başvuru sırasındaki GKS skoru, hasta yaşı, travma ile ameliyat arasında geçen süre ve pupilla reaksiyonundaki anormalliklerin prognozun belirlenmesinde önemli olduğu sonucuna varılmıştır.
Anahtar Kelime: Konular:
Ameliyat edilen travmatik akut subdural kanamalı hastalarda klinik prognostik faktörlerin analizi
Öz: BACKGROUND Traumatic acute subdural hematoma is the most lethal of all head injuries. METHODS In this study, 113 patients with the diagnosis of posttraumatic acute subdural hematoma, who were operated between 1998 and 2006, were reviewed retrospectively. Statistical analysis was performed to detect any effects of the variables of age, Glasgow Coma Scale (GCS) score on admission, time interval between the trauma and operation, and abnormality in the pupil reaction on the disease mortality and morbidity. RESULTS Results obtained in the study are discussed and compared with the related current literature. The overall mortality in 113 patients was 56.6%. CONCLUSION According to the results, the most important determinants of the prognosis are GCS score of the patient on admission, abnormality in pupil reaction, timing of the operation, and the patient?s age.
Anahtar Kelime: Konular:
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
- 1. Servadei F. Prognostic factors in severely head injured adult patients with acute subdural haematoma’s. Acta Neurochir (Wien) 1997;139:279-85.
- 2. Cooper PR, Rovit RL, Ransohoff J. Hemicraniectomy in the treatment of acute subdural hematoma: a re-appraisal. Surg Neurol 1976;5:25-8.
- 3. Seelig JM, Becker DP, Miller JD, Greenberg RP, Ward JD, Choi SC. Traumatic acute subdural hematoma: major mortality reduction in comatose patients treated within four hours. N Engl J Med 1981;304:1511-8.
- 4. Wilberger JE Jr, Harris M, Diamond DL. Acute subdural hematoma: morbidity, mortality, and operative timing. J Neurosurg 1991;74:212-8.
- 5. Stone JL, Rifai MH, Sugar O, Lang RG, Oldershaw JB, Moody RA. Subdural hematomas. I. Acute subdural hematoma: progress in defnition, clinical pathology, and therapy. Surg Neurol 1983;19:216-31.
- 6. Haselsberger K, Pucher R, Auer LM. Prognosis after acute subdural or epidural haemorrhage. Acta Neurochir (Wien) 1988;90:111-6.
- 7. Howard MA 3rd, Gross AS, Dacey RG Jr, Winn HR. Acute subdural hematomas: an age-dependent clinical entity. J Neurosurg 1989;71:858-63.
- 8. Jennett B, Teasdale G, Braakman R, Minderhoud J, Heiden J, Kurze T. Prognosis of patients with severe head injury. Neurosurgery 1979;4:283-9.
- 9. Young B, Rapp RP, Norton JA, Haack D, Tibbs PA, Bean JR. Early prediction of outcome in head-injured patients. J Neurosurg 1981;54:300-3.
- 10. Phuenpathom N, Choomuang M, Ratanalert S. Outcome and outcome prediction in acute subdural hematoma. Surg Neurol 1993;40:22-5.
- 11. Kaptanoğlu E, Solaroğlu I, Uçar MD, Okutan MO, Beşkonakli E, Taşkin Y. [Acute subdural hematomas: surgical treatment. Retrospective analysis of 73 cases] Ulus Travma Derg 2001;7:246-9.
- 12. Bullock MR, Chesnut R, Ghajar J, Gordon D, Hartl R, Newell DW, et al. Surgical management of acute subdural hematomas. Neurosurgery 2006;58:S16-24.
| APA | KARASU A, CİVELEK E, aras y, Sabancı P, CANSEVER T, Yanar H, SAĞLAM G, İMER M, HEPGÜL K, TAVİLOĞLU K, CANPOLAT A (2010). Analyses of clinical prognostic factors in operated traumatic acute subdural hematomas. , 233 - 236. |
| Chicago | KARASU Aykut,CİVELEK Erdinç,aras yavuz,Sabancı Pulat Akın,CANSEVER Tufan,Yanar Hakan,SAĞLAM Günseli,İMER Murat,HEPGÜL Kemal Tanju,TAVİLOĞLU Korhan,CANPOLAT Ali Analyses of clinical prognostic factors in operated traumatic acute subdural hematomas. (2010): 233 - 236. |
| MLA | KARASU Aykut,CİVELEK Erdinç,aras yavuz,Sabancı Pulat Akın,CANSEVER Tufan,Yanar Hakan,SAĞLAM Günseli,İMER Murat,HEPGÜL Kemal Tanju,TAVİLOĞLU Korhan,CANPOLAT Ali Analyses of clinical prognostic factors in operated traumatic acute subdural hematomas. , 2010, ss.233 - 236. |
| AMA | KARASU A,CİVELEK E,aras y,Sabancı P,CANSEVER T,Yanar H,SAĞLAM G,İMER M,HEPGÜL K,TAVİLOĞLU K,CANPOLAT A Analyses of clinical prognostic factors in operated traumatic acute subdural hematomas. . 2010; 233 - 236. |
| Vancouver | KARASU A,CİVELEK E,aras y,Sabancı P,CANSEVER T,Yanar H,SAĞLAM G,İMER M,HEPGÜL K,TAVİLOĞLU K,CANPOLAT A Analyses of clinical prognostic factors in operated traumatic acute subdural hematomas. . 2010; 233 - 236. |
| IEEE | KARASU A,CİVELEK E,aras y,Sabancı P,CANSEVER T,Yanar H,SAĞLAM G,İMER M,HEPGÜL K,TAVİLOĞLU K,CANPOLAT A "Analyses of clinical prognostic factors in operated traumatic acute subdural hematomas." , ss.233 - 236, 2010. |
| ISNAD | KARASU, Aykut vd. "Analyses of clinical prognostic factors in operated traumatic acute subdural hematomas". (2010), 233-236. |
| APA | KARASU A, CİVELEK E, aras y, Sabancı P, CANSEVER T, Yanar H, SAĞLAM G, İMER M, HEPGÜL K, TAVİLOĞLU K, CANPOLAT A (2010). Analyses of clinical prognostic factors in operated traumatic acute subdural hematomas. Ulusal Travma ve Acil Cerrahi Dergisi, 16(3), 233 - 236. |
| Chicago | KARASU Aykut,CİVELEK Erdinç,aras yavuz,Sabancı Pulat Akın,CANSEVER Tufan,Yanar Hakan,SAĞLAM Günseli,İMER Murat,HEPGÜL Kemal Tanju,TAVİLOĞLU Korhan,CANPOLAT Ali Analyses of clinical prognostic factors in operated traumatic acute subdural hematomas. Ulusal Travma ve Acil Cerrahi Dergisi 16, no.3 (2010): 233 - 236. |
| MLA | KARASU Aykut,CİVELEK Erdinç,aras yavuz,Sabancı Pulat Akın,CANSEVER Tufan,Yanar Hakan,SAĞLAM Günseli,İMER Murat,HEPGÜL Kemal Tanju,TAVİLOĞLU Korhan,CANPOLAT Ali Analyses of clinical prognostic factors in operated traumatic acute subdural hematomas. Ulusal Travma ve Acil Cerrahi Dergisi, vol.16, no.3, 2010, ss.233 - 236. |
| AMA | KARASU A,CİVELEK E,aras y,Sabancı P,CANSEVER T,Yanar H,SAĞLAM G,İMER M,HEPGÜL K,TAVİLOĞLU K,CANPOLAT A Analyses of clinical prognostic factors in operated traumatic acute subdural hematomas. Ulusal Travma ve Acil Cerrahi Dergisi. 2010; 16(3): 233 - 236. |
| Vancouver | KARASU A,CİVELEK E,aras y,Sabancı P,CANSEVER T,Yanar H,SAĞLAM G,İMER M,HEPGÜL K,TAVİLOĞLU K,CANPOLAT A Analyses of clinical prognostic factors in operated traumatic acute subdural hematomas. Ulusal Travma ve Acil Cerrahi Dergisi. 2010; 16(3): 233 - 236. |
| IEEE | KARASU A,CİVELEK E,aras y,Sabancı P,CANSEVER T,Yanar H,SAĞLAM G,İMER M,HEPGÜL K,TAVİLOĞLU K,CANPOLAT A "Analyses of clinical prognostic factors in operated traumatic acute subdural hematomas." Ulusal Travma ve Acil Cerrahi Dergisi, 16, ss.233 - 236, 2010. |
| ISNAD | KARASU, Aykut vd. "Analyses of clinical prognostic factors in operated traumatic acute subdural hematomas". Ulusal Travma ve Acil Cerrahi Dergisi 16/3 (2010), 233-236. |
