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- Title
Injuries Associated with Subdural Hematoma: A Study of the National Trauma Data Bank.
- Authors
ANANDASIVAM, NIDHARSHAN S.; RUSSO, GLENN S.; SAMUEL, ANDRE M.; GRANT, RYAN; BOHL, DANIEL D.; GRAUER, JONATHAN N.
- Abstract
Of 92 030 patients with subdural hematoma (SDH) in the National Trauma Data Bank (NTDB), 55 729 had fall mechanisms of injury (61%), while 36 301 had other traumatic mechanisms (nonfall, 39%). For nonfall mechanisms, the three associated injuries with the highest incidence were: skull fractures (43.3%), rib/sternum injuries (25.0%), and thoracic organ injuries (24.0%). For fall mechanisms, the three associated injuries with the highest incidence were: skull fractures (19.0%), spinal injuries (7.1%), and upper extremity fractures (6.8%). Mortality was associated with age and most studied associated injuries (odds ratios of up to 2.04). This study conveys an important clinical point: even though traditional teaching highlights the risk of noncontiguous spine fractures in patients with a known spine fracture, the risk of a noncontiguous spine fracture is higher when dealing with a patient with SDH. This is underscored by the fact that mortality is higher for SDH patients with other associated injuries.
- Subjects
SUBDURAL hematoma; SPINAL injuries; SKULL fractures; RIB injuries; DISEASE incidence; PATIENTS
- Publication
Connecticut Medicine, 2017, Vol 81, Issue 4, p215
- ISSN
0010-6178
- Publication type
Article