Please use this identifier to cite or link to this item: http://hdl.handle.net/2440/48720
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Type: Journal article
Title: Extradural haematoma: trends in outcome over 35 years
Author: Jones, N.
Molloy, C.
Kloeden, C.
North, J.
Simpson, D.
Citation: British Journal of Neurosurgery, 1993; 7(5):465-471
Publisher: CARFAX PUBL CO
Issue Date: 1993
ISSN: 0268-8697
1360-046X
Organisation: Centre for Automotive Safety Research (CASR)
Statement of
Responsibility: 
Nigel R. Jones, Cynthia J. Molloy, Craig N. Kloeden, J. Brian North, Donald A. Simpson
Abstract: We have reviewed 35 years experience of extradural haemorrhage (EDH) in a large neurosurgical unit, based in two university hospitals, one dealing exclusively with children and the other a general hospital. A steady reduction in the mortality rate from 29 to 8.5% occurred during that period. A trend towards earlier diagnosis is noted and an increasing proportion of rural patients has been evident throughout the study period. During the time-period studied there were many significant developments: the establishment of a modern neurosurgical unit, the evolution of an intensive care unit, the availability of CT head scanning and the formal organization of rapid retrieval to service country areas. However, no single feature could be identified as the major contributor to falling mortality results. Clinical awareness and early diagnosis are the keys to successful management of EDH.
Keywords: Extradural haematoma; head injury; outcome
Description: We have reviewed 35 years experience of extradural haemorrhage (EDH) in a large neurosurgical unit, based in two university hospitals, one dealing exclusively with children and the other a general hospital. A steady reduction in the mortality rate from 29 to 8.5% occurred during that period. A trend towards earlier diagnosis is noted and an increasing proportion of rural patients has been evident throughout the study period. During the time-period studied there were many significant developments: the establishment of a modern neurosurgical unit, the evolution of an intensive care unit, the availability of CT head scanning and the formal organization of rapid retrieval to service country areas. However, no single feature could be identified as the major contributor to falling mortality results. Clinical awareness and early diagnosis are the keys to successful management of EDH.
RMID: 0030001356
DOI: 10.3109/02688699308995068
Published version: http://www.informaworld.com/smpp/content~content=a784297404~db=all
Appears in Collections:Centre for Automotive Safety Research publications

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