Toggle Main Menu Toggle Search

Open Access padlockePrints

Improving mortality after extradural haematoma in England and Wales

Lookup NU author(s): Emeritus Professor David Mendelow


Full text for this publication is not currently held within this repository. Alternative links are provided below where available.


Introduction: Head injury is an important cause of death and disability in young people, with 1.4 million presentations each year in the UK.(1) Extradural haematoma (EDH) is a potentially fatal head injury, which is easily remedied surgically. Several factors influence the mortality of EDH. The mortality of isolated EDH ranges from 1.2 to 33%.(12,16,19,28) EDH outcome within the UK has not been recently described. Materials and methods: The Trauma Audit and Research Network (TARN) database was used to collate data on patients in England and Wales, with 'isolated' EDH between 1997 and 2003. Age, gender, GCS at 1st emergency department (ED), haematoma size, presence of a skull fracture, outcome (alive or dead) and injury-to-operation time were required. Where this time was unavailable, an estimation could be made using another time collected for the patient. Data coordinators at several hospitals were contacted in order to collect extra information missing from the database. The mortality for this group was then calculated and comparisons between this and previous series were made. Results: A total of four-hundred and eighty four (484) patients with isolated EDH were identified. One-hundred and ninety-seven (197) patients were operated on in England and Wales in this TARN dataset, between 1997 and 2003 for 'isolated' EDH. The mortality rate for this operative series was 2% (4 patients) (95% CI 0.1-4%). The non-operative mortality rate was 3% (95% CI 0.9-5.0%). Conclusion. This study has found a low EDH operative mortality rate of 2%. This is lower than that of previous studies on isolated EDH in the UK. This is likely to be valid as TARN is the largest European trauma registry, although we acknowledge that this first EDH sample derived from UK EDs may represent a selected series.

Publication metadata

Author(s): Ruff LM, Mendelow AD, Lecky FE

Publication type: Article

Publication status: Published

Journal: British Journal of Neurosurgery

Year: 2013

Volume: 27

Issue: 1

Pages: 19-23

Print publication date: 01/02/2013

ISSN (print): 0268-8697

ISSN (electronic): 1360-046X

Publisher: Informa Healthcare


DOI: 10.3109/02688697.2012.709555


Altmetrics provided by Altmetric