Acute Traumatic Intracranial Hematoma Index and its Significance for Objectifying Indications for Their Surgical Treatment
THE AIM OF THE STUDY. was an index creation for both single and multiple acute traumatic intracranial hematomas (ATIH) for objectification of the surgical treatment indications and using multispiral computed tomography (MSCT) and based on up-to-date clinical recommendations.MATERIAL AND METHODS. We...
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Sklifosovsky Research Institute for Emergency Medicine, Public Healthcare Institution of Moscow Healthcare Department
2020-01-01
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| Series: | Неотложная медицинская помощь |
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| Online Access: | https://www.jnmp.ru/jour/article/view/747 |
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| author | A. V. Semyonov V. V. Krylov V. A. Sorokovikov E. V. Grigoryeva |
| author_facet | A. V. Semyonov V. V. Krylov V. A. Sorokovikov E. V. Grigoryeva |
| author_sort | A. V. Semyonov |
| collection | DOAJ |
| description | THE AIM OF THE STUDY. was an index creation for both single and multiple acute traumatic intracranial hematomas (ATIH) for objectification of the surgical treatment indications and using multispiral computed tomography (MSCT) and based on up-to-date clinical recommendations.MATERIAL AND METHODS. We performed a retrospective study of 3 groups of patients with ATIH. Group 1 included 19 patients who were treated conservatively and discharged from the hospital without complications (group of conservative treatment). Group 2 included 9 patients who were observed after hospitalization and were treated in a delayed manner surgically due to growth of the intracranial hematoma volume or the patient condition deterioration (group of observation). Group 3 included 18 patients who were operated due urgent indications (group of surgical treatment). For each patient, the acute traumatic hematoma index (ATHI) was calculated by our original formula. It took the ATIH location, volume in milliliters according to the first MSCT, and risk factors significant for poor outcomes into account. After a preliminary assessment of the significance of differences between the studied characters of groups, a discriminant analysis was carried out with determination of the ATHI values in each group.RESULTS AND CONCLUSIONS. The suggested ATHI index has been shown to be effective in assessing single and multiple ATIHs of any location in accordance with current recommendations. The index is an objective (digital) and easy-to-use for determining ATIH surgical treatment indications and statistical treatment. If ATHI is less than 3 points, there are no indications for surgery and the repeated MSCT of the brain is indicated at least 12 hours after the first checkup or if the suspicious clinical sings appear; if ATHI is 3–4, the indications for surgery are relative and the repeated MSCT of the brain is required 6 hours later even if the patient condition is unaltered; the surgery is indicated if ATHI is more than 4 points.Authors declare lack of the conflicts of interests. |
| format | Article |
| id | doaj-art-2a910526c33b4d4a85410cbe84035fcc |
| institution | Kabale University |
| issn | 2223-9022 2541-8017 |
| language | Russian |
| publishDate | 2020-01-01 |
| publisher | Sklifosovsky Research Institute for Emergency Medicine, Public Healthcare Institution of Moscow Healthcare Department |
| record_format | Article |
| series | Неотложная медицинская помощь |
| spelling | doaj-art-2a910526c33b4d4a85410cbe84035fcc2025-08-20T03:56:37ZrusSklifosovsky Research Institute for Emergency Medicine, Public Healthcare Institution of Moscow Healthcare DepartmentНеотложная медицинская помощь2223-90222541-80172020-01-018440941710.23934/2223-9022-2019-8-4-409-417550Acute Traumatic Intracranial Hematoma Index and its Significance for Objectifying Indications for Their Surgical TreatmentA. V. Semyonov0V. V. Krylov1V. A. Sorokovikov2E. V. Grigoryeva3Irkutsk State Medical Academy of Postgraduate Education — branch of Federal State Budgetary Educational Institution of Postgraduate Education “Russian Medical Academy of Continuous Professional Education” of the Ministry health of Russian Federation; Regional State Budgetary Institution of healthcare “Irkutsk City Clinical hospital no. 3” of the Ministry of health of the Russian Federation; Federal State Budgetary Scientific Institution “Irkutsk Scientific Center of Surgery and Traumatology “Federal State Budgetary Educational Institution of higher Education A.I. Yevdokimov Moscow State university of Medicine and Denistry of the Ministry of health of the RussianRegional State Budgetary Institution of healthcare “Irkutsk City Clinical hospital no. 3” of the Ministry of health of the Russian Federation; Federal State Budgetary Scientific Institution “Irkutsk Scientific Center of Surgery and Traumatology “Federal State Budgetary Educational Institution of higher Education A.I. Yevdokimov Moscow State university of Medicine and Denistry of the Ministry of health of the RussianTHE AIM OF THE STUDY. was an index creation for both single and multiple acute traumatic intracranial hematomas (ATIH) for objectification of the surgical treatment indications and using multispiral computed tomography (MSCT) and based on up-to-date clinical recommendations.MATERIAL AND METHODS. We performed a retrospective study of 3 groups of patients with ATIH. Group 1 included 19 patients who were treated conservatively and discharged from the hospital without complications (group of conservative treatment). Group 2 included 9 patients who were observed after hospitalization and were treated in a delayed manner surgically due to growth of the intracranial hematoma volume or the patient condition deterioration (group of observation). Group 3 included 18 patients who were operated due urgent indications (group of surgical treatment). For each patient, the acute traumatic hematoma index (ATHI) was calculated by our original formula. It took the ATIH location, volume in milliliters according to the first MSCT, and risk factors significant for poor outcomes into account. After a preliminary assessment of the significance of differences between the studied characters of groups, a discriminant analysis was carried out with determination of the ATHI values in each group.RESULTS AND CONCLUSIONS. The suggested ATHI index has been shown to be effective in assessing single and multiple ATIHs of any location in accordance with current recommendations. The index is an objective (digital) and easy-to-use for determining ATIH surgical treatment indications and statistical treatment. If ATHI is less than 3 points, there are no indications for surgery and the repeated MSCT of the brain is indicated at least 12 hours after the first checkup or if the suspicious clinical sings appear; if ATHI is 3–4, the indications for surgery are relative and the repeated MSCT of the brain is required 6 hours later even if the patient condition is unaltered; the surgery is indicated if ATHI is more than 4 points.Authors declare lack of the conflicts of interests.https://www.jnmp.ru/jour/article/view/747traumatic intracranial hematomaintracranial hematomasvolume measurement |
| spellingShingle | A. V. Semyonov V. V. Krylov V. A. Sorokovikov E. V. Grigoryeva Acute Traumatic Intracranial Hematoma Index and its Significance for Objectifying Indications for Their Surgical Treatment Неотложная медицинская помощь traumatic intracranial hematoma intracranial hematomas volume measurement |
| title | Acute Traumatic Intracranial Hematoma Index and its Significance for Objectifying Indications for Their Surgical Treatment |
| title_full | Acute Traumatic Intracranial Hematoma Index and its Significance for Objectifying Indications for Their Surgical Treatment |
| title_fullStr | Acute Traumatic Intracranial Hematoma Index and its Significance for Objectifying Indications for Their Surgical Treatment |
| title_full_unstemmed | Acute Traumatic Intracranial Hematoma Index and its Significance for Objectifying Indications for Their Surgical Treatment |
| title_short | Acute Traumatic Intracranial Hematoma Index and its Significance for Objectifying Indications for Their Surgical Treatment |
| title_sort | acute traumatic intracranial hematoma index and its significance for objectifying indications for their surgical treatment |
| topic | traumatic intracranial hematoma intracranial hematomas volume measurement |
| url | https://www.jnmp.ru/jour/article/view/747 |
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