Small subdural hemorrhages: is routine intensive care unit admission necessary?

The American Journal of Emergency Medicine
Paul AlbertineM Reza Taheri

Abstract

With advancing technology, the sensitivity of computed tomography (CT) for the detection of subdural hematoma (SDH) continues to improve. In some cases, the finding is limited to one or 2 images of the CT examination. At our institution, all patients with an SDH require intensive care unit (ICU) admission, regardless of size. In this report, we tested the hypothesis that patients with a small traumatic SDH on their presenting CT examination do not require the intensive monitoring offered in the ICU and can instead be managed on a hospital unit with a lower level of monitoring. This is a retrospective study of patients evaluated and treated at a level I trauma center for acute traumatic intracranial hemorrhage between 2011 and 2014. The clinical and imaging profile of 87 patients with traumatic SDH were studied. Patients with small isolated traumatic subdural hemorrhage (tSDH) (<10 cm(3) blood volume) spent less time in the ICU, demonstrated neurologic and medical stability during hospitalization, and did not require any neurosurgical intervention. It is our recommendation that patients with isolated tSDH (<10 cm(3)) do not require ICU monitoring. Patients with small tSDH and additional intracranial hemorrhages overall show low ...Continue Reading

References

Apr 1, 1995·Archives of Physical Medicine and Rehabilitation·J D Corrigan
Jan 1, 1998·The New England Journal of Medicine·J F AnnegersW A Rocca
May 23, 2006·Neurosurgery·M Ross BullockUNKNOWN Surgical Management of Traumatic Brain Injury Author Group
Apr 11, 2009·The Journal of Trauma·Tiffany K BeeTimothy C Fabian
Sep 19, 2009·The Journal of International Medical Research·G W ZhuW G Liu
Mar 29, 2011·Clinical Neurology and Neurosurgery·Dhaval ShuklaAmit Agrawal
Dec 27, 2011·Journal of Neurosurgery·Chad W Washington, Robert L Grubb
Nov 20, 2013·Journal of Neurosciences in Rural Practice·Georgios K MatisTheodossios A Birbilis
Dec 24, 2013·Current Treatment Options in Neurology·Carter Gerard, Katharina M Busl
Feb 25, 2015·The Journal of Trauma and Acute Care Surgery·Ramesh GrandhiDavid O Okonkwo

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Citations

Nov 2, 2017·Neurosurgical Focus·Alexander G ChartrainErrol Gordon
Apr 30, 2021·The American Journal of Emergency Medicine·Kyle CostenbaderReza Taheri

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