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Medical Journal of Islamic Republic of Iran، جلد ۱۲، شماره ۴، صفحات ۳۱۳-۳۱۸
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عنوان انگلیسی TRA UMATIC ACUTE SUBDURAL HEMATOMA: ANALYSIS OF FACTORS AFECTING OUTCOME IN COMATOSE PATIENTS
چکیده انگلیسی مقاله To determine the factors affecting the outcome of patients with traumatic acute subdural hematoma, we reviewed the records of7 4 consecutive comatose patients with a Glascow coma scale Score (GCS) of less than 8 who had been admitted to Imam Hosein Medical Center from 1990 to 1996 and had undergone a uniform treatment protocol. The overall mortality rate was 73% and 23% had functional recovery, but 4% were severely disabled or vegetative. The following variables had a statistically significant correlation with poor outcome: age over 65 years (p< 0.05), preoperative GCS of 3 or 4 (p< 0.05), bilateral absent pupillary light reflexes (p< 0.05), and immediate and sustained coma from the moment of injury to operation without any lucid interval (p< 0.00l). The time interval between injury and operation, sex, mechanism of injury, and associated craniocerebral injuries were not significantly correlated with outcome. In patients with immediate post-traumatic unconsciousness, the extent of primary brain injury is the crucial factor to predict the outcome. However, in patients with a lucid interval, the mass effect of hematoma seems to be more important, therefore prompt surgical decompression in addition to management of secondary brain insults improves the outcome remarkably.
کلیدواژه‌های انگلیسی مقاله Acute subdural hematoma, GCS, lucid interval, outcome
نویسندگان مقاله شیرزاد اظهری | shirzad azhari
from the department of neurosurgery, imam hosein medical center, shaheed beheshti university of medical sciences, tehran, islamic republic of iran

سازمان اصلی تایید شده: دانشگاه علوم پزشکی شهید بهشتی (Shahid beheshti university of medical sciences)

حسین صفدری | hosein safdari


مسعود شابه پور | massoud shabehpoor


حسین حسین | hosein nayebaghaie


زهره امیری | zohreh amiri


نشانی اینترنتی http://mjiri.iums.ac.ir/browse.php?a_code=A-10-298-431&slc_lang=en&sid=en
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کد مقاله (doi)
زبان مقاله منتشر شده en
موضوعات مقاله منتشر شده Neurosurgery
نوع مقاله منتشر شده Original Research
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