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https://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. |
DOI: | 10.3109/02688699308995068 |
Published version: | http://www.informaworld.com/smpp/content~content=a784297404~db=all |
Appears in Collections: | Aurora harvest Centre for Automotive Safety Research publications |
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