Patients with Prior Craniectomy or Craniotomy Have No Increased Risk of Acute Hemorrhage after Mild Traumatic Brain Injury
Abstract
:1. Introduction
2. Materials and Methods
2.1. Data Collection
2.2. Treatment Procedures in TBI Patients Admitted to Our Ward
2.2.1. First-Line Therapy
2.2.2. Radiological Assessment and Continued Treatment
2.2.3. Postoperative Treatment Protocol
2.2.4. Follow-Up Examination
2.3. Data Analysis
3. Results
3.1. Patients
3.1.1. Repeat Mild TBI
3.1.2. Treatment Factors in Surgically Managed Patients
3.1.3. Therapeutic Anticoagulation
3.1.4. Bleedings after Repeated TBI
4. Discussion
Limitations
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Craniectomy with Bony Defect (n = 31) | Craniotomy/Craniectomy with Secondary Closure (n = 157) | p-Values | |
---|---|---|---|
Age in years | 0.211 | ||
59.02 ± 17.81 | 56.03 ± 10.7 | ||
Sex | 0.836 | ||
male: 20 (64.5%) | male: 105 (66.9%) | ||
female: 11 (35.5%) | female: 52 (33.1%) | ||
Anticoagulation | 0.794 | ||
yes: 10 (32.3%) | yes: 35 (22.3%) | ||
no: 21 (67.7) | no: 122 (77.7%) | ||
Trauma mechanism | |||
Mild TBI: 31 (100%) | Mild TBI: 157 (100%) | ||
Bleedings | 0.216 | ||
6 (19.4%) | 16 (10.2%) | ||
SDB: 2 (6.5%) | SDB: 6 (3.8%) | ||
EDH: 1 (3.2%) | EDH: 6 (3.8%) | ||
ICB: 4 (12.9%) | ICB: 8 (5.1%) | ||
SABL: 4 (12.9%) | SABL: 3 (1.9%) | ||
GCS | 0.042 | ||
3–8: 4 (12.9%) | 3–8: 5 (3.2%) | ||
13–15: 27 (87.1%) | 13–15: 152 (96.8%) | ||
Treatment necessary | 6 (100%) | 16 (100%) | |
Surgical treatment | 1.000 | ||
2 (33.3%) | 5 (31.3%) | ||
Conservative treatment | |||
4 (66.6%) | 11 (68.7%) |
Type of Anticoagulation | Frequency | Percentage |
---|---|---|
T-Ass, Plavix, (Brillique) | 28 | 14.9 |
Ivor, Fragmin, Lovenox | 12 | 6.4 |
Marcoumar, Sintrom | 7 | 3.7 |
Xarelto, Pradaxa, Lixiana | 7 | 3.7 |
Total | 54 | 28.7 |
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Binder, H.; Schallmeiner, D.; Tiefenboeck, T.M.; Payr, S.; Winnisch, M.; Kdolsky, R.; Hajdu, S.; Schwarz, G.M.; Hofbauer, M. Patients with Prior Craniectomy or Craniotomy Have No Increased Risk of Acute Hemorrhage after Mild Traumatic Brain Injury. Int. J. Environ. Res. Public Health 2022, 19, 2684. https://doi.org/10.3390/ijerph19052684
Binder H, Schallmeiner D, Tiefenboeck TM, Payr S, Winnisch M, Kdolsky R, Hajdu S, Schwarz GM, Hofbauer M. Patients with Prior Craniectomy or Craniotomy Have No Increased Risk of Acute Hemorrhage after Mild Traumatic Brain Injury. International Journal of Environmental Research and Public Health. 2022; 19(5):2684. https://doi.org/10.3390/ijerph19052684
Chicago/Turabian StyleBinder, Harald, Daniel Schallmeiner, Thomas M. Tiefenboeck, Stephan Payr, Markus Winnisch, Richard Kdolsky, Stefan Hajdu, Gilbert Manuel Schwarz, and Marcus Hofbauer. 2022. "Patients with Prior Craniectomy or Craniotomy Have No Increased Risk of Acute Hemorrhage after Mild Traumatic Brain Injury" International Journal of Environmental Research and Public Health 19, no. 5: 2684. https://doi.org/10.3390/ijerph19052684