Management Strategy and Outcome of Epidural Haematoma in Relation to Volume.
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Date
2011-07
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Volume Title
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Abstract
Epidural Haematoma (EDH) develops in 1-3% of all major head injuries and most common in the young. This crosssectional
descriptive study was done to find out the management strategy and outcome of EDH in relation to clot
volume. This study was performed from December'2006 to November'2007, by purposively selecting 77 cases of EDH
from the Department of Neurosurgery, Dhaka Medical College Hospital (DMCH), Dhaka. The study showed that
highest number of patients was in most active period of life, with male predominance (Male: Female =7.5:1). Causes
of EDH were mostly due to assault (37.7%), followed by RTA (32.5%) and fall from height (29.8%). The study
showed Patient having EDH Volume (EDHV) > 30ml will have 8.55 times more chance of having unfavorable
outcome than patient having EDHV < 30 ml. Patient having EDHV > 30 ml will have 187.83 times more chance of
requiring surgical intervention than those having EDHV <30 ml, which is statistically highly significant (p<0.001).
Mortality rate of EDH can be reduced by giving early management either conservative or surgery. Delay in the
management of EDH patients with poor level of consciousness and EDHV >30 ml has adverse effect on mortality and
morbidity.
Description
Keywords
EDH, EDHV, Burr hole, GOS, GCS
Citation
Islam M M, Bhuiyan T H, Hassan M K, Asadullah M A T M, Raihan Z, Hossain S S. Management Strategy and Outcome of Epidural Haematoma in Relation to Volume. Faridpur Medical College Journal. 2011 July; 6(2): 89-91.