[Extradural hematoma in the Emergency Medical Assistance System and scanners. Comparison between 2 series at the Sainte-Anne Hospital Center].
The authors compare two groups of intracranial epidural hematomas treated in the Neurosurgical department of Sainte-Anne Hospital in Paris: the first group includes 262 patients operated upon between 1965 and 1977; the second group concerns 124 patients operated during the period 1979-1984. The mortality rate has been progressively diminishing from 1969 (50%) to 1984 (12.5%). Among the survivors, functional sequellae are still frequent; some improvement in the functional prognosis has although been noted; in the first group, 41% of patients are cured and 56% of them returned to work; in the second group, 50% are cured, and 62% returned to their professional activities. The detailed analysis of those data emphasizes the importance of CT-Scan and of the improvement of specialized neurosurgical intensive care; on the other hand, the particular role of an emergency care organisation, such as the SAMU, appears rather discreet referring to this type of pathology.
D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D002675:Child, Preschool; D006259:Craniocerebral Trauma / Q000150:complications / Q000000981:diagnostic imaging; D004632:Emergency Medical Services; D005260:Female; D006407:Hematoma, Epidural, Cranial / Q000000981:diagnostic imaging / Q000401:mortality / Q000601:surgery*; D006769:Hospitals, General; D006801:Humans; D007223:Infant; D008297:Male; D008875:Middle Aged; D010297:Paris; D011379:Prognosis; D013997:Time Factors; D014057:Tomography, X-Ray Computed
L'hématome extra-dural à l'ère du S.A.M.U. et du scanner. Comparaison de deux séries du Centre Hospitalier Sainte-Anne.