Lobectomy in traumatic brain injury patients with intracerebral hemorrhage and delayed contusion
Background: TBI, standing for Traumatic Brain Injury, is a leading cause of death worldwide; nonetheless, data on its management has hitherto been sparse. In view of the fact that brain lobectomy is a contentious issue in the management of TBI, we set out the current study to assess the mortality ra...
Main Authors: | , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Kermanshah University of Medical Sciences
2020-07-01
|
Series: | Journal of Injury and Violence Research |
Subjects: | |
Online Access: | http://jivresearch.org/jivr/index.php/jivr/article/view/1180/857 |
id |
doaj-1806b16df614415785484020b67424b5 |
---|---|
record_format |
Article |
spelling |
doaj-1806b16df614415785484020b67424b52020-11-25T03:07:20ZengKermanshah University of Medical SciencesJournal of Injury and Violence Research2008-20532008-40722020-07-0112211111510.5249/jivr.v12i2.1180Lobectomy in traumatic brain injury patients with intracerebral hemorrhage and delayed contusionShahrokh Yousefzadeh-Chabok0Mohammad Safaei1Ehsan Kazemnejad2Davoud Mahmoudi3Sasan Andalib4https://orcid.org/0000-0003-0904-0925Guilan Road Trauma Research Center, Poursina Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran.Department of Neurosurgery, Poursina Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran.Guilan Road Trauma Research Center, Poursina Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran.Guilan Road Trauma Research Center, Poursina Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran.Neuroscience Research Center, Department of Neurosurgery, Poursina Hospital, School of Medicine, Guilan Universi-ty of Medical Sciences, Rasht, Iran.Background: TBI, standing for Traumatic Brain Injury, is a leading cause of death worldwide; nonetheless, data on its management has hitherto been sparse. In view of the fact that brain lobectomy is a contentious issue in the management of TBI, we set out the current study to assess the mortality rate and outcomes of TBI with delayed contusion or Intracerebral Hemorrhage (ICH) undergoing lobectomy. Methods: We evaluated 135 TBI patients with delayed contusion or ICH undergoing brain lobectomy from 2001 to 2013. Withal, the mortality and Glasgow Outcome Scale (GOS) and Glasgow Comma Scale (GCS) rates were assessed in these patients and the association in between was sought. Results: The TBI patients undergoing brain lobectomy (77% male versus 23 % female) had a mean age of 43.4±20.3 years and experienced a survival rate of 62.2% (71% in females versus 60% in males). Favorable GOS was observed in 53% of male patients, compared with 27% in the females. Age was demonstrated to significantly affect the mortality rate (p=0.0001). Initial GCS score was associated with GOS as 79.1% of the survived patients with a GCS of higher than 9 on admission were discharged with favorable GOS. Conclusions: The evidence from the present study indicates that lobectomy can be an acceptable surgical procedure in management of TBI patients with delayed contusion or ICH.http://jivresearch.org/jivr/index.php/jivr/article/view/1180/857brain lobectomytraumatic brain injuryinjuryglasgow outcome scaleglagow comma scale |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Shahrokh Yousefzadeh-Chabok Mohammad Safaei Ehsan Kazemnejad Davoud Mahmoudi Sasan Andalib |
spellingShingle |
Shahrokh Yousefzadeh-Chabok Mohammad Safaei Ehsan Kazemnejad Davoud Mahmoudi Sasan Andalib Lobectomy in traumatic brain injury patients with intracerebral hemorrhage and delayed contusion Journal of Injury and Violence Research brain lobectomy traumatic brain injury injury glasgow outcome scale glagow comma scale |
author_facet |
Shahrokh Yousefzadeh-Chabok Mohammad Safaei Ehsan Kazemnejad Davoud Mahmoudi Sasan Andalib |
author_sort |
Shahrokh Yousefzadeh-Chabok |
title |
Lobectomy in traumatic brain injury patients with intracerebral hemorrhage and delayed contusion |
title_short |
Lobectomy in traumatic brain injury patients with intracerebral hemorrhage and delayed contusion |
title_full |
Lobectomy in traumatic brain injury patients with intracerebral hemorrhage and delayed contusion |
title_fullStr |
Lobectomy in traumatic brain injury patients with intracerebral hemorrhage and delayed contusion |
title_full_unstemmed |
Lobectomy in traumatic brain injury patients with intracerebral hemorrhage and delayed contusion |
title_sort |
lobectomy in traumatic brain injury patients with intracerebral hemorrhage and delayed contusion |
publisher |
Kermanshah University of Medical Sciences |
series |
Journal of Injury and Violence Research |
issn |
2008-2053 2008-4072 |
publishDate |
2020-07-01 |
description |
Background: TBI, standing for Traumatic Brain Injury, is a leading cause of death worldwide; nonetheless, data on its management has hitherto been sparse. In view of the fact that brain lobectomy is a contentious issue in the management of TBI, we set out the current study to assess the mortality rate and outcomes of TBI with delayed contusion or Intracerebral Hemorrhage (ICH) undergoing lobectomy.
Methods: We evaluated 135 TBI patients with delayed contusion or ICH undergoing brain lobectomy from 2001 to 2013. Withal, the mortality and Glasgow Outcome Scale (GOS) and Glasgow Comma Scale (GCS) rates were assessed in these patients and the association in between was sought.
Results: The TBI patients undergoing brain lobectomy (77% male versus 23 % female) had a mean age of 43.4±20.3 years and experienced a survival rate of 62.2% (71% in females versus 60% in males). Favorable GOS was observed in 53% of male patients, compared with 27% in the females. Age was demonstrated to significantly affect the mortality rate (p=0.0001). Initial GCS score was associated with GOS as 79.1% of the survived patients with a GCS of higher than 9 on admission were discharged with favorable GOS.
Conclusions: The evidence from the present study indicates that lobectomy can be an acceptable surgical procedure in management of TBI patients with delayed contusion or ICH. |
topic |
brain lobectomy traumatic brain injury injury glasgow outcome scale glagow comma scale |
url |
http://jivresearch.org/jivr/index.php/jivr/article/view/1180/857 |
work_keys_str_mv |
AT shahrokhyousefzadehchabok lobectomyintraumaticbraininjurypatientswithintracerebralhemorrhageanddelayedcontusion AT mohammadsafaei lobectomyintraumaticbraininjurypatientswithintracerebralhemorrhageanddelayedcontusion AT ehsankazemnejad lobectomyintraumaticbraininjurypatientswithintracerebralhemorrhageanddelayedcontusion AT davoudmahmoudi lobectomyintraumaticbraininjurypatientswithintracerebralhemorrhageanddelayedcontusion AT sasanandalib lobectomyintraumaticbraininjurypatientswithintracerebralhemorrhageanddelayedcontusion |
_version_ |
1724671072684474368 |