Factors Affecting the Outcome of Traumatic Brain Injured Patients with Acute Epidural Haematoma in National Hospital, Abuja.

OBJECTIVE

The objective is to determine the prognostic factors affecting the surgical outcome of patients surgically treated for acute epidural haematoma.

MATERIALS AND METHODS

A retrospective review of 71 consecutive patients who underwent neurosurgery for acute epidural haematomas over a 5-year period (from January 2015 to December 2019) was conducted. Clinical characteristics and the time intervals were investigated to determine the interactions between all these factors and the outcome. The outcome was graded according to the Glasgow Outcome Scale (GOS) at subsequent follow-up clinic visits.

RESULTS

The severity of traumatic brain injury using the Glasgow Coma Scale score (chi-square test, = 0.033) had a statistically significant relationship with the outcome. The patients' age, gender, and total length of time until surgical intervention ( > 0.05) were of no statistical significance in relation to the outcome. The mortality rate of patients presenting at our centre is 16.9%. Overall, after surgery, 47 of 71 with epidural haematoma had good recovery (GOS 5). Twelve of 71 patients had GOS of 2-4. Twelve patients died. The median duration from injury to presentation was 15 hours with an interquartile range of 15 hours.

CONCLUSION

Our results indicate that the severity of brain injury is an independent risk factor in determining the outcome of epidural haematoma in traumatic brain injury.