A Combined Retrospective and Prospective Study of Surgical and Clinical Outcomes in Pediatric Patients With Extradural Hematoma Following Acute Head Injury
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 30
- 试验地点
- 1
- 主要终点
- Neurological outcome assessed by the King's Outcome Scale for Childhood Head Injury (KOSCHI)
研究概览
简要总结
Acute extradural hematoma (EDH) is a potentially life-threatening neurosurgical emergency in children, commonly resulting from traumatic head injury. Early diagnosis and timely surgical intervention are critical factors influencing neurological recovery and overall outcome. Despite advances in neuroimaging and surgical techniques, the clinical presentation, management strategies, and outcomes of pediatric EDH remain variable
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Other
入排标准
- 年龄范围
- 1 Day 至 18 Years（Child, Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Pediatric patients (<18 years of age).
- •Patients with traumatic extradural (epidural) hematoma.
- •Patients who underwent surgical evacuation of the extradural hematoma.
排除标准
- •Patients with coagulopathy.
- •Patients with autoimmune disorders.
- •Patients with a previous operation for extradural hematoma.
- •Patients with associated intracranial hematomas (e.g., subdural hematoma, subarachnoid hemorrhage, or brain contusion).
- •Patients with panfacial fractures.
- •Patients with significant general surgical, cardiothoracic, or orthopedic comorbidit.
结局指标
主要结局
Neurological outcome assessed by the King's Outcome Scale for Childhood Head Injury (KOSCHI)
时间窗: 3-6 month after surgery
Neurological outcome measured using the King's Outcome Scale for Childhood Head Injury (KOSCHI). Scores range from 1 to 5A/5B according to the scale. Higher scores indicate better neurological recovery.
次要结局
未报告次要终点
研究者
Abdelrahman Mohamed
resident of neurosurgery department
Sohag University