Effect of patients' age on management of acute intracranial haematoma: prospective national study
Effect of patients' age on management of acute intracranial haematoma: prospective national study
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DOI：
10.1136/bmj.325.7371.1001
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发表时间：
2002-11-02
影响因子：
--
通讯作者：
Parke, TRJ
中科院分区：
文献类型：
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作者：
Munro, PT;Smith, RD;Parke, TRJ
目的 确定年龄大于或等于 65 岁的患者与年龄 < 65 岁的患者之间头部损伤的处理是否存在差异。设计为期四年的前瞻性观察性全国研究。设置 25 家收治创伤患者的苏格兰医院。参与者 527 名患有硬膜外或急性硬膜下血肿的创伤患者。主要结果指标：第一家就诊医院进行颅脑计算机断层扫描的时间、转至神经外科护理的比率、神经外科干预的比率、手术时间长度以及入院后三个月内住院患者的死亡率。结果 年龄 ≥ 65 岁的患者的生存率低于 65 岁以下的患者。硬膜外血肿的发生率为 15/18 (83%) vs 165/167 (99%)。 (P=0.007) 和 61/93 (66%) vs 229/249 (92%) 急性硬膜下血肿 (P
Objective To determine whether the management of head injuries differs between patients aged greater than or equal to65 years and those < 65.Design Prospective observational national study over four years. Setting 25 Scottish hospitals that admit trauma patients.Participants 527 trauma patients with extradural or acute subdural haematomas.Main outcome measures Time to cranial computed tomography in the first hospital attended, rates of transfer to neurosurgical care, rates of neurosurgical intervention, length of time to operation, and mortality in inpatients in the three months after admission.Results Patients aged ≥ 65 years had lower survival rates than patients < 65 years. Rates were 15/18 (83%) v 165/167 (99%) for Extradural haematoma. (P=0.007) and 61/93 (66%) v 229/249 (92%) for acute subdural haematoma (P