ASSESSMENT OF MORTALITY FROM TRAUMATIC SUBDURAL HEMORRHAGE IN KAZAKHSTAN
DOI:
https://doi.org/10.31082/1728-452X-2020-221-222-11-12-27-34Keywords:
traumatic subdural hemorrhage, mortality, KazakhstanAbstract
Traumatic brain injury (TBI) is one of the most severe and common forms of damage to the central nervous system. At the same time, traumatic subdural hemorrhage refers to severe TBI leading to severe disability and death.
Aim of the research. To study the epidemiological features of mortality from traumatic subdural hemorrhage in Kazakhstan.
Material and Methods. The study was retrospective, 2009-2018, the material was data on cases of death from traumatic subdural hemorrhage in the country, descriptive and analytical methods of epidemiology were used.
Results and discussion. It is established that the average age of those who died from traumatic subdural hemorrhage in men (44.5±0.78 years) was younger than in women patients (47.6±1.17 years). The crude and standardized mortality rates for men (1.33±0.070/0000 and 1.39±0.070/0000, respectively) were higher than for women (0.45±0.040/0000 and 0.42±0.040/0000, respectively). Age indicators had a unimodal increase with a peak of mortality in the group of 70 years and older in both men (2.8±0.38) and women (1.05±0.14). Trends in age-related indicators in men and women tended to increase, with the most pronounced growth rates of the equalized indicators being at the age of 70 years and older in men (Tgr=+7.1%), and in women (Tgr=+9.2%).
Conclusions. The analysis of mortality from traumatic subdural hemorrhage indicates a gender difference and an increase in mortality in all the studied population groups. The obtained data are recommended to be used for monitoring and evaluation of diagnostic and therapeutic measures in this pathology.
References
Kornienko VN, Vasin NY, Kuzmenko VA. Computer tomography in the diagnosis of traumatic brain injury. Moscow: Medicine; 2007:119-120
Krylov VV, Talypov AE, Puras YV. The choice of trepanation in the surgery of severe traumatic brain injury. Zhurnal Voprosy neirokhirurgii im. NN Burdenko = Journal of Neurosurgery named after NN Burdenko. 2007;1:3-11 (In Russ.). 3 Lebedev VV, Krylov V V. Emergency neurosurgery. Moscow: Medicine; 2000: 568
Likhterman LB, Kornienko VN, Potapov AA. Craniocerebral trauma: prognosis, course, and outcomes. Moscow: LTR; 2003:309
Potapov AA, Krylov VV, Likhterman L.B. Modern recommendations for the diagnosis and treatment of severe traumatic brain injury. Zhurnal Voprosy neirokhirurgii im. NN Burdenko = Journal of Neurosurgery named after NN Burdenko. 2006;1:3-8 (In Russ.).
Khilko VA. Clinical guide to craniocerebral trauma. Volume 3. Moscow: Antidor; 2002:631
Bullock R, Teasdale G. Surgical management of traumatic intracranial hematomas. In: Braakman R (ed) Handbook of clinical neurology: Head injury. Elsevier Pub, New York;1990:249–298
Bulters D, Belli A. A prospective study of the time to evacuate acute subdural and extradural haematomas. Anaesthesia. 2009;64(3):277- 281. doi:10.1111/j.1365-2044.2008.05779.x
Cruz J, Minoja G, Okuchi K. Improving clinical outcomes from acute subdural hematomas with the emergency preoperative administration of high doses of mannitol: a randomized trial. Neurosurgery. 2001;49(4):864-871. doi: 10.1097/00006123- 200110000-00016
D'Amato L, Piazza O, Alliata L, et al. Prognosis of isolated acute post-traumatic subdural haematoma. J Neurosurg Sci. 2007;51(3):107-111
d'Avella D, Servadei F, Scerrati M, et al. Traumatic acute subdural haematomas of the posterior fossa: clinicoradiological analysis of 24 patients. Acta Neurochir (Wien). 2003;145(12):1037- 1044. doi:10.1007/s00701-003-0150-y
Jacobsson LJ, Westerberg M, Lexell J. Demographics, injury characteristics and outcome of traumatic brain injuries in northern Sweden. Acta Neurol Scand. 2007;116(5):300-306. doi:10.1111/ j.1600-0404.2007.00896.x
Akshulakov SK, Kasumova SY, Sadykov AM. Chronic subdural hematoma. Astana; 2008. P. 89
Fraerman AP, Khitrin LK, Kravets LY. Diagnostics and surgery of traumatic compression of the brain. Nizhny Novgorod; 1994:371
Lee KS, Bae HG, Yun IG. Small-sized acute subdural hematoma: operate or not. J Korean Med Sci. 1992;7(1):52-57. doi:10.3346/jkms.1992.7.1.52
Lebedev VV, Krylov VV, Grin AA, Korypaeva IV. Features of the clinic and surgical treatment of patients with small and large traumatic intracranial hematomas. In: Selected issues of neurology and Neurosurgery. Stupino; 1997. 39-40 p.
Kotwica Z, Brzeziński J. Acute subdural haematoma in adults: an analysis of outcome in comatose patients. Acta Neurochir (Wien). 1993;121(3-4):95-99. doi:10.1007/BF01809257
Pospiech J, Kalff R, Herwegen H. Prognostische Faktoren bei akuten traumatischen Epi- und Subduralhamatomen. Aktuel Traumatol.1993,23:1-6.
Orlin JR, Thuomas KA, Pontén U, Bergström K, Zwetnow NN. MR imaging of experimental subdural bleeding. Correlates of brain deformation and tissue water content, and changes in vital physiological parameters. Acta Radiol. 1997;38(4 Pt 1):610-620. doi:10.1080/02841859709174394
Orrison WW, Gentry LR, Stimac GK, Tarrel RM, Espinosa MC, Cobb LC. Blinded comparison of cranial CT and MR in closed head injury evaluation. AJNR Am J Neuroradiol. 1994;15(2):351-356.
Matsuyama T, Shimomura T, Okumura Y, Sakaki T. Rapid resolution of symptomatic acute subdural hematoma: case report. Surg Neurol. 1997;48(2):193-196. doi:10.1016/s0090-3019(96)00484-3
Tuncer R, Açikbas C, Uçar T, Kazan S, Karasoy M, Saveren M. Conservative management of extradural haematomas: effects of skull fractures on resorption rate. Acta Neurochir (Wien). 1997;139(3):203-207. doi:10.1007/BF01844752
Tuncer R, Kazan S, Uçar T, Açikbas C, Saveren M. Conservative management of epidural haematomas. Prospective study of 15 cases. Acta Neurochir (Wien). 1993;121(1-2):48-52. doi:10.1007/BF01405182
Frarman AP, Fedorov AN, Kozachuk PN. Surgical tactics in traumatic compression of the brain with small-volume hematomas. In: II Congress of Neurosurgeons of the Russian Federation. Nizhny Novgorod; 1998:37
Bezircioğlu H, Erşahin Y, Demirçivi F, Yurt I, Dönertaş K, Tektaş S. Nonoperative treatment of acute extradural hematomas: analysis of 80 cases. J Trauma. 1996;41(4):696-698. doi:10.1097/ 00005373-199610000-00016
Croce MA, Dent DL, Menke PG, et al. Acute subdural hematoma: nonsurgical management of selected patients. J Trauma. 1994;36(6):820-827
Riesgo P, Piquer J, Botella C, Orozco M, Navarro J, Cabanes J. Delayed extradural hematoma after mild head injury: report of three cases. Surg Neurol. 1997;48(3):226-231. doi:10.1016/s0090- 3019(97)00194-8
Chen TY, Wong CW, Chang CN, et al. The expectant treatment of "asymptomatic" supratentorial epidural hematomas. Neurosurgery. 1993;32(2):176-179. doi:10.1227/00006123-199302000- 00004
Cucciniello B, Martellotta N, Nigro D, Citro E. Conservative management of extradural haematomas. Acta Neurochir (Wien). 1993;120(1-2):47-52. doi: 10.1007/BF02001469
Servadei F, Vergoni G. Extradural hematomas: surgical and nonsurgical treatment. AJNR Am J Neuroradiol. 1993;14(2):506-507.
Wong CW. Criteria for conservative treatment of supratentorial acute subdural haematomas. Acta Neurochir (Wien). 1995;135(1- 2):38-43. doi: 10.1007/BF02307412
Application of statistical analysis methods for the study of public health and public health. Moscow: GEOTAR-MED; 2004:180
Toshiro Tango. Statistical Methods for Disease Clustering. Springer Science+Business Media; LLC 2010:247
Omar B. Ahmad, Cynthia Boschi-Pinto, Alan D. Lopez, Christopher JL Mur ray, Rafael Lozano, Mie Inoue. Age standardization of rates: a new who standard. GPE Discussion Paper Series: No.31 EIP/GPE/EBD World Health Organization 2001. source: Available from: http://www.who.int/healthinfo/paper31.pdf. (accessed 16 November 2020)
