Outcome of Traumatic Brain Injury Patients with EDH, SDH, and ICH Bleeding Undergoing Craniotomy Surgery at Dr. General Sardjito Hospital, Yogyakarta
DOI:
https://doi.org/10.22146/jka.v13i3.29788Keywords:
Craniotomy, GOSE, traumatic brain injury, types of brain hemorrhageAbstract
ABSTRACT
Background: Traumatic brain injury (TBI) is clinically divided into primary and secondary. CT Scan is a common examination as a diagnostic of TBI patients. Craniotomy surgery has been proven to be useful in treating TBI and reducing mortality rates. Clinical outcomes of TBI patients can be assessed using GOSE scale.
Objective: To determine the differences in clinical outcomes in traumatic brain injury patients with types of brain hemorrhage who underwent craniotomy surgery.
Methods: This study used a prospective observational study design with a prospective cohort study design. The sampling technique was whole sampling of traumatic brain injury patients who underwent craniotomy surgery with CT scan images of brain hemorrhage in the form of SDH, EDH, or ICH. Patient outcomes were assessed using the GOSE scale. Bivariate statistical tests used the Chi-squared test or Kruskal walls test. The test was declared significant when the p-value <0.05.
Results: A total of 36 subjects met the inclusion and exclusion criteria. The majority of subjects had good which were reported for SDH (100%), EDH (84.61%), and ICH (66.6%). There was no significant relationship between age (p=0.53), gender (p=0.63), TBI CT scan appearance (p=0.34), and GCS (p=0.54) with TBI patient outcomes.
Conclusion: The majority of TBI patients who underwent craniotomy had good patient outcomes. In this study, there was no statistically significant difference between the outcomes of TBI patients with EDH, SDH, and ICH bleeding who underwent craniotomy as measured by the GOSE scale.
Keywords: Traumatic brain injury, Types of Brain Hemorrhage, Craniotomy, GOSE
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