Matches in SemOpenAlex for { <https://semopenalex.org/work/W2967314712> ?p ?o ?g. }
Showing items 1 to 83 of
83
with 100 items per page.
- W2967314712 endingPage "122" @default.
- W2967314712 startingPage "118" @default.
- W2967314712 abstract "Object Guidelines for the management of pediatric epidural hematoma (PEDH) remain poorly defined. Here we seek to characterize the disease course of PEDH in patients with presenting Glasgow Coma Scale (GCS) of 14+, and suggest high-risk characteristics for progression to surgery. Methods A prospectively maintained, single-institution, level-1 trauma hospital admission database was queried to identify patients ages 6 months to 18 years presenting with PEDH between 2006 and 2016. Selected charts were reviewed for clinical information and treatment. Head imaging was reviewed for hematoma size, location, fractures, and midline shift. Results Of 210 cases reviewed, 117 presented with a GCS of 14+. Of these, 24 required surgery while 93 were managed conservatively. Factors leading to surgery included decline in GCS (40%), size alone (21%), localizing neurological deficit (20%), progression on repeat imaging (12%), and other (7%). Hematomas involving the temporal lobe plus an adjacent lobe were more likely to proceed to surgery than those involving the temporal lobe alone (OR: 24.8, 95% CI (4.74, 129.26)). Hematomas in proximity to the superior sagittal and transverse sinuses proceeded to surgery in 33.3% and 37.5% of cases, respectively. Of the 93 patients with a thickness:biparietal skull diameter ratio of ≤0.15, 89 (95.7%) were managed conservatively. Conclusion In this single-institution experience, 21% of pediatric patients presenting with a GCS of 14+ proceeded to surgery. High-risk features include large hematoma thickness, proximity to the transverse sinus, and multilobar location. A thickness:biparietal skull diameter ratio less than 0.15 was highly unlikely to proceed to surgery." @default.
- W2967314712 created "2019-08-22" @default.
- W2967314712 creator A5007017551 @default.
- W2967314712 creator A5046624651 @default.
- W2967314712 creator A5051310999 @default.
- W2967314712 creator A5057439902 @default.
- W2967314712 creator A5067183212 @default.
- W2967314712 creator A5068186302 @default.
- W2967314712 date "2019-12-01" @default.
- W2967314712 modified "2023-10-06" @default.
- W2967314712 title "Management of epidural hematomas in pediatric patients presenting with a GCS of 14 or better" @default.
- W2967314712 cites W1507932052 @default.
- W2967314712 cites W1978575802 @default.
- W2967314712 cites W1981299428 @default.
- W2967314712 cites W1986272208 @default.
- W2967314712 cites W1993286506 @default.
- W2967314712 cites W2003834951 @default.
- W2967314712 cites W2014054881 @default.
- W2967314712 cites W2024107875 @default.
- W2967314712 cites W2111007743 @default.
- W2967314712 cites W2161365799 @default.
- W2967314712 cites W2333423680 @default.
- W2967314712 cites W2791032185 @default.
- W2967314712 cites W2901434657 @default.
- W2967314712 doi "https://doi.org/10.1016/j.jocn.2019.08.056" @default.
- W2967314712 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/31421993" @default.
- W2967314712 hasPublicationYear "2019" @default.
- W2967314712 type Work @default.
- W2967314712 sameAs 2967314712 @default.
- W2967314712 citedByCount "5" @default.
- W2967314712 countsByYear W29673147122021 @default.
- W2967314712 countsByYear W29673147122022 @default.
- W2967314712 countsByYear W29673147122023 @default.
- W2967314712 crossrefType "journal-article" @default.
- W2967314712 hasAuthorship W2967314712A5007017551 @default.
- W2967314712 hasAuthorship W2967314712A5046624651 @default.
- W2967314712 hasAuthorship W2967314712A5051310999 @default.
- W2967314712 hasAuthorship W2967314712A5057439902 @default.
- W2967314712 hasAuthorship W2967314712A5067183212 @default.
- W2967314712 hasAuthorship W2967314712A5068186302 @default.
- W2967314712 hasConcept C118552586 @default.
- W2967314712 hasConcept C126838900 @default.
- W2967314712 hasConcept C141071460 @default.
- W2967314712 hasConcept C17624336 @default.
- W2967314712 hasConcept C178910020 @default.
- W2967314712 hasConcept C2776531899 @default.
- W2967314712 hasConcept C2778186239 @default.
- W2967314712 hasConcept C2779300802 @default.
- W2967314712 hasConcept C2779662492 @default.
- W2967314712 hasConcept C2781099131 @default.
- W2967314712 hasConcept C71924100 @default.
- W2967314712 hasConceptScore W2967314712C118552586 @default.
- W2967314712 hasConceptScore W2967314712C126838900 @default.
- W2967314712 hasConceptScore W2967314712C141071460 @default.
- W2967314712 hasConceptScore W2967314712C17624336 @default.
- W2967314712 hasConceptScore W2967314712C178910020 @default.
- W2967314712 hasConceptScore W2967314712C2776531899 @default.
- W2967314712 hasConceptScore W2967314712C2778186239 @default.
- W2967314712 hasConceptScore W2967314712C2779300802 @default.
- W2967314712 hasConceptScore W2967314712C2779662492 @default.
- W2967314712 hasConceptScore W2967314712C2781099131 @default.
- W2967314712 hasConceptScore W2967314712C71924100 @default.
- W2967314712 hasLocation W29673147121 @default.
- W2967314712 hasLocation W29673147122 @default.
- W2967314712 hasOpenAccess W2967314712 @default.
- W2967314712 hasPrimaryLocation W29673147121 @default.
- W2967314712 hasRelatedWork W100685627 @default.
- W2967314712 hasRelatedWork W2035674362 @default.
- W2967314712 hasRelatedWork W2068361159 @default.
- W2967314712 hasRelatedWork W2081107617 @default.
- W2967314712 hasRelatedWork W2142988213 @default.
- W2967314712 hasRelatedWork W2379819475 @default.
- W2967314712 hasRelatedWork W2775527078 @default.
- W2967314712 hasRelatedWork W2900138623 @default.
- W2967314712 hasRelatedWork W2985091023 @default.
- W2967314712 hasRelatedWork W2740343320 @default.
- W2967314712 hasVolume "70" @default.
- W2967314712 isParatext "false" @default.
- W2967314712 isRetracted "false" @default.
- W2967314712 magId "2967314712" @default.
- W2967314712 workType "article" @default.