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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
0c95cdf0-4ef7-48d5-afae-85af33b1123f
Belli, A
173116e3-a9e8-4ed2-afc4-932f7001eeb0
Bulters, D
0c95cdf0-4ef7-48d5-afae-85af33b1123f
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.

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Published date: March 2009
Organisations: Clinical Neuroscience

Identifiers

Local EPrints ID: 199259
URI: https://eprints.soton.ac.uk/id/eprint/199259
ISSN: 0003-2409
PURE UUID: ad2b3107-6ef6-490e-8ada-35d9bdc7452d

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Date deposited: 13 Oct 2011 16:18
Last modified: 16 Jul 2019 23:22

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