Abstract
Since progressive hemorrhagic injury (PHI) was introduced in neurosurgical literatures, several studies have been performed, the results of which have influenced doctors but do not define guidelines for the best treatment of PHI. PHI may be confirmed by a serial computerized tomography (CT) scan, and it has been shown to be associated with a fivefold increase in the risk of clinical worsening and is a significant cause of morbidity and mortality as well. So, early detection of PHI is practically important in a clinical situation. To analyze the early CT signs of progressive hemorrhagic injury following acute traumatic brain injury (TBI) and explore their clinical significances, PHI was confirmed by comparing the first and repeated CT scans. Data were analyzed and compared including times from injury to the first CT and signs of the early CT scan. Logistic regression analysis was used to show the risk factors related to PHI. A cohort of 630 TBI patients was evaluated, and there were 189 (30%) patients who suffered from PHI. For patients with their first CT scan obtained as early as 2 h post-injury, there were 116 (77.25%) cases who suffered from PHI. The differences between PHIs and non-PHIs were significant in the initial CT sc...Continue Reading
References
May 1, 1987·Archives of Surgery·S R ShackfordR W Virgilio
Apr 1, 1985·Journal of Neurosurgery·M R KlauberS A Bowers
Jan 1, 1993·Neurosurgery·S C SteinS E Ross
Nov 1, 1995·Neurosurgery·F ServadeiA Arista
Jan 1, 1997·International Journal of Trauma Nursing·C Swartz
Jan 17, 2002·Journal of Neurosurgery·Matthias OertelNeil A Martin
Apr 1, 2006·Neurosurgery·Edward F ChangMartin C Holland
May 22, 2008·Journal of Neurotrauma·Raj K NarayanUNKNOWN Traumatic Intracerebral Hemorrhage Study Group
Aug 5, 2009·BMC Emergency Medicine·Pablo PerelFiona Lecky
Citations
May 10, 2012·Journal of Neurotrauma·Fang YuanHeng-Li Tian
Jan 16, 2013·Emergency Medicine International·Hao ChenHeng-Li Tian
Jun 7, 2014·Peptides·Ding-Bo YangYuan-Feng Du
Oct 20, 2012·AJNR. American Journal of Neuroradiology·L Letourneau-GuillonR I Aviv
Jun 13, 2015·Surgery·Lindley E FolkersonCharles E Wade
Jun 11, 2015·World Journal of Emergency Surgery : WJES·Timothy E SweeneyKristan L Staudenmayer
Jul 23, 2014·Journal of Neurotrauma·Bo XiaoQing Mao
Mar 22, 2014·BMC Anesthesiology·Jingsong ZengWeimin Fang
Jul 31, 2016·Neurocritical Care·Randall Z AllisonMatthew A Koenig
Dec 19, 2017·Frontiers in Neurology·Guangfu DiHongyi Liu
Mar 28, 2017·European Journal of Pediatrics·Guo-Wen HuXin-Gen Zhu
Jan 16, 2020·International Journal of Molecular Sciences·Ruchira M JhaJ Marc Simard
Dec 13, 2016·Acta neurochirurgica·Xueyan WanTing Lei
May 29, 2020·Neurocritical Care·Krishma AdatiaDavid K Menon
Jul 24, 2020·Neurosurgical Review·Koichi MikiTooru Inoue
Nov 19, 2020·Journal of Neurotrauma·Ruchira M JhaPatrick M Kochanek