Naslov
Delay in transport and severe brain injury.

Autori
Marcikić, Marcel ; Hrečkovski, Boris ; Samardžić, Josip ; Jurjević, Matija ; Mirković, Ivan

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, stručni

Izvornik
European Journal of Trauma and Emergency Surgery 2012, 38(suppl.1) / - , 2012, S109-S109

Skup
13th European Congress of Trauma and Emergency Surgery

Mjesto i datum
Basel, Švicarska, 12.05.2012. - 15.05.2012

Vrsta sudjelovanja
Poster

Vrsta recenzije
Međunarodna recenzija

Ključne riječi
Brain injury ; transport - delay

Sažetak
Introduction: Severe traumatic brain injury is the most frequent cause of young adult fatalities all over the worlds. The deformation of the brain at the moment of impact, leads to primary brain injury. Secondary brain injury may be due to surgical mass lesions and brain swelling causing elevated intracranial pressure. More than 4 h delay in evacuation of surgical mass lesions has been demonstrated to have an additional impact on outcome. We studied two groups of patients with the goal to investigate an influence of transport time delay on neurosurgical outcome. Materials and methods: The study population was comprised of 37 patients with severe brain injury who were admitted to neurosurgical division of General Hospital Slavonski Brod and operated on in 7 years period. Patients were divided in two groups based on transportaion delay: A) patients transported from the town and surrounding area, B)patient s transported from distant cities. We used Chi- square test for statistical analysis. Results: Analyzing median time, patients mostly came to neurosurgical unit in the 90 min (group A) and 180 min (group B) after an accident. Conclusion: We found out that time required for transport didn't play an important role in treatment outcome after brain injury. Critical time is 4 h as it is published in literature. Age is the only solid fact which affects the result if all prerequisites have been made for transport, welfare and other measures.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

POVEZANOST RADA