Document Detail

Clinical application of a novel clinical scale for the pre-operative risk evaluation of cerebral herniation from traumatic epidural hematoma.
MedLine Citation:
PMID:  25393339     Owner:  NLM     Status:  Publisher    
Secondary massive cerebral infarction (MCI), the predominant prognostic factor of cerebral herniation from epidural hematoma (EDH), determines a need for decompressive craniectomy. However, few predictive indices have focused on it. In this study, we tested the clinical feasibility and reliability of a novel pre-operative risk scoring system (EDH-MCI scale) in the guidance of surgical decision-making. The scale is comprised of 6 risk factors, including location and volume of hematoma, duration and extent of preoperative cerebral herniation, Glasgow Coma Scale score, and presence of preoperative shock, with a total score ranging from 0 to 18 points. Results suggest that the accuracy of the surgical modality adapted for initial hematoma-evacuation surgery of 65 patients whose surgical modality were guided by the EDH-MCI scale (prospective cohort, 2012.02-2014.01) were significantly improved (95.38% vs. 77.95%, <i>P</i>=0.002) compared with those of an independent set of 126 patients (retrospective cohort, 2007.01-2012.01) whose surgical modalities were decided empirically. The EDH-MCI scale exhibited a satisfactory predictive capacity for the development of secondary MCI and discriminative performance for patients who were at high risk and thus required radical surgical treatments. It is suggested that simple hematoma-evacuation craniotomy was sufficient for patients with low risk scores (<=9 points), whereas decompressive craniectomy in combination with duraplasty were necessary for those with high risk scores (>=13 points). In patients with borderline risk scores (10-12 points), those having one or more of unstable vital signs, coexistence of severe secondary brainstem injury, and irresponsiveness of dilated pupils to emergent burr-hole hematoma-drainage had a significantly increased incidence of posttraumatic MCI, which underlined a high priority for radical surgical treatments. In conclusion, this novel pre-operative risk evaluation scale is easy to use and has a satisfactory predictive capacity forthe development of secondary MCI, thereby providing an objective reference for surgical-decision making and postoperative medical care.
Hong Lin; Wen-Hao Wang; Lianshui Hu; Jun Li; Fei Luo; Junming Lin; Wei Huang; Ming-Sheng Zhang; Yuan Zhang; Kang Hu; Jian-Xian Zheng
Related Documents :
25443149 - Inflammatory markers as predictors of postoperative adverse outcome in octogenarian sur...
4058849 - Fire hazard during ophthalmic surgery.
8529159 - Microbial etiology and predisposing factors among patients hospitalized for corneal ulc...
9276119 - Practices associated with cataract surgery in canada: results of a national survey.
25231429 - Clinical relevance of distal biceps insertional and footprint anatomy.
7343359 - Use of the ocutome in anterior segment surgery.
3081859 - Intraoperative auditory brain stem response monitoring during ultrasonic aspiration of ...
3378469 - Kock's pouch converted to a pelvic pouch. report of a case.
24607189 - Surgical considerations in pierre robin sequence.
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2014-11-13
Journal Detail:
Title:  Journal of neurotrauma     Volume:  -     ISSN:  1557-9042     ISO Abbreviation:  J. Neurotrauma     Publication Date:  2014 Nov 
Date Detail:
Created Date:  2014-11-13     Completed Date:  -     Revised Date:  2014-11-14    
Medline Journal Info:
Nlm Unique ID:  8811626     Medline TA:  J Neurotrauma     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  A systematic review of diastolic stress tests in heart failure with preserved ejection fraction, wit...
Next Document:  Rapid and cost-efficient enumeration of rare cancer cells from whole blood by low-loss centrifugo-ma...