Ameliyat edilen travmatik akut subdural kanamal� hastalarda klinik prognostik fakt�rlerin analizi

Karasu, Aykut; Civelek, Erdin�; Aras, Yavuz; Sabanc�, Pulat Ak�n; Cansever, Tufan; Yanar, Hakan; Sa�lam, G�nseli; �mer, Murat; Hepg�l, Kemal Tanju; Tavilo�lu, Korhan; Canbolat, Ali

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Ameliyat edilen travmatik akut subdural kanamal� hastalarda klinik prognostik fakt�rlerin analizi [Ulus Travma Acil Cerrahi Derg]

Ulus Travma Acil Cerrahi Derg. 2010; 16(3): 233-236

Ameliyat edilen travmatik akut subdural kanamal� hastalarda klinik prognostik fakt�rlerin analizi

Aykut Karasu¹, Erdin� Civelek¹, Yavuz Aras¹, Pulat Ak�n Sabanc�¹, Tufan Cansever¹, Hakan Yanar², G�nseli Sa�lam³, Murat �mer¹, Kemal Tanju Hepg�l¹, Korhan Tavilo�lu², Ali Canbolat¹
¹�stanbul �niversitesi �stanbul T�p Fak�ltesi, N�ro�ir�rji Anabilim Dal�, �stanbul, T�rkiye
²�stanbul �niversitesi �stanbul T�p Fak�ltesi, Genel Cerrahi Anabilim Dal�, �stanbul, T�rkiye
³�stanbul �niversitesi �stanbul T�p Fak�ltesi, Anetseziyoloji Ve Reanimasyon Anabilim Dal�, �stanbul, T�rkiye

AMA�
Travmaya ba�l� akut subdural kanamalar kafa travma tan�lar� aras�nda en �l�mc�l olan�d�r.
GERE� VE Y�NTEM
Bu �al��mada 1998 ile 2006 y�llar� aras�nda travma sonras� akut subdural kanama tan�s� ile ameliyat edilen 113 hasta geriye y�nelik olarak incelendi. Ba�vuru s�ras�ndaki Glasgow Koma Skalas� (GKS) Skoru, hasta ya��, travma ile ameliyat aras�nda ge�en s�re ve pupilla reaksiyonundaki anormalliklerin mortalite ve morbidite �zerindeki etkilerini saptamak amac�yla istatistiksel analiz yap�ld�.
BULGULAR
Elde edilen sonu�lar g�ncel literat�rle kar��la�t�r�larak tart��ld�. Y�z on �� hastadaki toplam mortalite %56,6 olarak bulundu.
SONU�
Ba�vuru s�ras�ndaki GKS skoru, hasta ya��, travma ile ameliyat aras�nda ge�en s�re ve pupilla reaksiyonundaki anormalliklerin prognozun belirlenmesinde �nemli oldu�u sonucuna var�lm��t�r.

Anahtar Kelimeler: Akut subdural kanama, prognoz; prognoztik fakt�rler; travma.

Analyses of clinical prognostic factors in operated traumatic acute subdural hematomas

Aykut Karasu¹, Erdin� Civelek¹, Yavuz Aras¹, Pulat Ak�n Sabanc�¹, Tufan Cansever¹, Hakan Yanar², G�nseli Sa�lam³, Murat �mer¹, Kemal Tanju Hepg�l¹, Korhan Tavilo�lu², Ali Canbolat¹
¹Department Of Neurosurgery, Istanbul Medical Faculty, Istanbul University, Istanbul, Turkey
²Department Of Surgery, Istanbul Medical Faculty, Istanbul University, Istanbul, Turkey
³Department Oof Anesthesiology, Istanbul Medical Faculty, Istanbul University, Istanbul, Turkey

BACKGROUND
Traumatic acute subdural hematoma is the most lethal of all head injuries.
METHODS
In this study, 113 patients with the diagnosis of posttraumatic acute subdural hematoma, who were operated between 1998 and 2006, were reviewed retrospectively. Statistical analysis was performed to detect any effects of the variables of age, Glasgow Coma Scale (GCS) score on admission, time interval between the trauma and operation, and abnormality in the pupil reaction on the disease mortality and morbidity.
RESULTS
Results obtained in the study are discussed and compared with the related current literature. The overall mortality in 113 patients was 56.6%.
CONCLUSION
According to the results, the most important determinants of the prognosis are GCS score of the patient on admission, abnormality in pupil reaction, timing of the operation, and the patient�s age.

Keywords: Acute subdural hematoma, prognosis; prognostic factors; trauma.

Sorumlu Yazar: Pulat Ak�n Sabanc�, T�rkiye
Makale Dili: �ngilizce

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