Impact of Operating Time on the Surgical Outcome of Epidural Hematoma in Patients with a History of Automotive Accidents: A Longitudinal Comparative Study

Abstract

Aim:To determine the impact of operating time on the surgical outcome of epidural hematoma in patients with a history of automotive accidents

Study design:A longitudinal comparative study

Place and Duration: This study was conducted at Pakistan Institute of Medical Sciences Islamabad, Pakistan. From June 2020 to June 2021.

Methodology: In this study, sixty adults of either gender who were involved in a road traffic collision and had an epidural hematoma were included. Three groups of 20 patients were formed. These patients were in groups I, II, and III, where the period from a traumatic event to surgery was less than one hour, one to six hours, or more than six hours, respectively.

Results: Only four out of the 20 participants in group I (about 10%) had an adverse result. A total of 11 (30%) of the participants in group II had a positive result, while others had a negative result. There were 10 (50 percent) positive outcomes and 10 (50 percent) negative outcomes in group III. A P-value of 0.05 indicated a link between operation timing and patient outcomes

Conclusions: Patients who had surgery within an hour of the head trauma had a much greater success rate after surgical evacuation of epidural hematoma.