Objective: To evaluate the factors affecting the surgical outcome of traumatic\nintracranial hematoma. Patient and Methods: This study was retrospectively\nconducted on 60 patients with traumatic intracranial hematoma admitted to\nthe Neurosurgery Department, Al-Azhar University Hospital and underwent\nsurgical management. Results: The age range was 10 - 58 years, mean age was\n31.50 years, male-to-female ratio was 3:1. The causative trauma was road traffic\naccident (45%), direct trauma to the head (30%) and fall from height\n(FFH) (25%) of all studied patients. Morbidity and/or mortality was reported\nin 38.3% and unfavorable outcome was significantly associated with longer\ndelay time (time from injury to surgery), increased operative time, long duration\nof hospital stay and lower Glasgow coma scale at admission and discharge.\nOtherwise, the unfavorable outcome although increased with old age,\nthere was no significant association. Conclusion: Head trauma is considered\nas a frequent cause of death and disability. Time consuming to reach the hospital,\noperative time, length of stay in hospital and Glasgow coma score of the\npatient on admission and discharge markedly determine the surgical outcome\nof traumatic intracranial hematoma.
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