EFFECT OF TRAUMATIC INTRACRANIAL HEMATOMA LOCATION ON MORTALITY OUTCOMES IN SURGICALLY MANAGED ISOLATED TRAUMATIC BRAIN INJURY

Аннотация

Background. Traumatic brain injury remains a leading cause of mortality and long-term disability, 
worsening 
clinical 
hematomas 
significantly 
with 
intracranial 
outcomes.
Результаты.   Наиболее   часто   выявлялись   эпидуральные   гематомы   (55%),   реже   — 204
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Objective. To assess the impact of traumatic intracranial hematoma localization on mortality in 
injury 
isolated 
brain 
with 
patients 
surgical 
undergoing 
traumatic 
treatment.
Materials and Methods. A retrospective analysis of 2,087 medical records of patients with isolated TBI treated in hospitals of the Republic of Armenia between 2007 and 2011 was performed. Surgical intervention was required in 188 patients, including 151 cases of intracranial hematomas. Clinical condition  on  admission  was  assessed  according  to  the  stages  of  TBI  progression.  Hematoma 
localization, 
and        mortality        rates        were        analyzed.
timing        of 
surgery, 
Results. Epidural  hematomas  were  the  most  common  (55%),  followed  by  subdural  (25.1%), intracerebral (9.3%), and multiple hematomas (10.6%). The lowest mortality rate was observed in epidural hematomas (3.6%), whereas the highest mortality occurred in intracerebral hematomas (42.9%) and multiple hematomas with an intracerebral component (50%). Hematoma localization had a  stronger  influence  on  mortality  than  the  timing  of  surgical  intervention. Conclusion. Intracerebral localization of traumatic intracranial hematomas is associated with poor prognosis, while epidural hematomas demonstrate comparatively favorable outcomes when treated promptly.