The University of Southampton
University of Southampton Institutional Repository

A prospective study of the time to evacuate acute subdural and extradural haematomas

A prospective study of the time to evacuate acute subdural and extradural haematomas
A prospective study of the time to evacuate acute subdural and extradural haematomas
We performed a prospective, single-centre study of times to treatment of patients with life-threatening, traumatic, extra- and subdural haematomas requiring surgical evacuation between May 2006 and May 2007. The mean time to surgical decompression was 5.0 h and 32% were performed within 4 h. Patients who initially presented to a district hospital and required transfer for neurosurgery were decompressed in 5.4 h vs 3.7 h for those admitted directly. The current standard of surgical evacuation of all haematomas within 4 h is not being met. Delays were identified in every stage in the management of these patients and no single step was identified as the major cause. Initial treatment in district hospitals led to delays greater than the added driving time. There may be time savings from carrying out treatment steps in parallel instead of in series.
0003-2409
277-281
Bulters, D
d6f9644a-a32f-45d8-b5ed-be54486ec21d
Belli, A
173116e3-a9e8-4ed2-afc4-932f7001eeb0
Bulters, D
d6f9644a-a32f-45d8-b5ed-be54486ec21d
Belli, A
173116e3-a9e8-4ed2-afc4-932f7001eeb0

Bulters, D and Belli, A (2009) A prospective study of the time to evacuate acute subdural and extradural haematomas. Anaesthesia, 64 (3), 277-281. (doi:10.1111/(ISSN)1365-2044). (PMID:19302640)

Record type: Article

Abstract

We performed a prospective, single-centre study of times to treatment of patients with life-threatening, traumatic, extra- and subdural haematomas requiring surgical evacuation between May 2006 and May 2007. The mean time to surgical decompression was 5.0 h and 32% were performed within 4 h. Patients who initially presented to a district hospital and required transfer for neurosurgery were decompressed in 5.4 h vs 3.7 h for those admitted directly. The current standard of surgical evacuation of all haematomas within 4 h is not being met. Delays were identified in every stage in the management of these patients and no single step was identified as the major cause. Initial treatment in district hospitals led to delays greater than the added driving time. There may be time savings from carrying out treatment steps in parallel instead of in series.

This record has no associated files available for download.

More information

Published date: March 2009
Organisations: Clinical Neuroscience

Identifiers

Local EPrints ID: 199259
URI: http://eprints.soton.ac.uk/id/eprint/199259
ISSN: 0003-2409
PURE UUID: ad2b3107-6ef6-490e-8ada-35d9bdc7452d
ORCID for D Bulters: ORCID iD orcid.org/0000-0001-9884-9050

Catalogue record

Date deposited: 13 Oct 2011 16:18
Last modified: 15 Mar 2024 04:02

Export record

Altmetrics

Contributors

Author: D Bulters ORCID iD
Author: A Belli

Download statistics

Downloads from ePrints over the past year. Other digital versions may also be available to download e.g. from the publisher's website.

View more statistics

Atom RSS 1.0 RSS 2.0

Contact ePrints Soton: eprints@soton.ac.uk

ePrints Soton supports OAI 2.0 with a base URL of http://eprints.soton.ac.uk/cgi/oai2

This repository has been built using EPrints software, developed at the University of Southampton, but available to everyone to use.

We use cookies to ensure that we give you the best experience on our website. If you continue without changing your settings, we will assume that you are happy to receive cookies on the University of Southampton website.

×