Research Paper

The Association Between Early Discharge And Long-term Outcome Of Patients With Traumatic Intracranial Hemorrhage Admitted To Emergency Departments

Abstract :

Introduction: Head trauma is associated with high morbidity and mortality. Common complications of head trauma are intracranial hemorrhages (ICH), which may cause numerous physical and cognitive disabilities. This study was performed to evaluate the association between early discharge and long-term outcome of patients with traumatic ICH. Materials & Methods: In this prospective cohort study, patients with traumatic ICH referred to emergency departments (EDs) of two teaching hospital were investigated. Demographic and clinical characteristics of the patients were recorded in the check list and then radiologic assessment was done. According to time of discharge, the patients were divided into two groups: early discharge ( 24 hours) and late discharge (> 24 hours). All subjects were followed by intervals of 24 hours, one month and three months after discharge and their outcome were evaluated based on clinical criteria and the Glasgow Outcome Scale (GOS). The collected data were analyzed using SPSS-24. Results:A total of 28 patients (84.8%) in the early discharge group and 36 patients (81.8%) in the late discharge group completed the study. The age distribution was similar between two groups. In the first group, 26 patients (92.8%) and in the second group, 25 patients (69.4%) were male. Epidural hemorrhage was the most common type of intracranial hemorrhage (n = 15, 53.7% vs. n = 27, 75.0%; P = 0.005). The most common clinical symptoms after discharge were headache in the first group and headache and vertigo simultaneously in the second group (n = 7, 25.0% vs. n = 4, 11.1%; P = 0.020). At the end of follow-up, in the first group of 28 patients (100%) had GOS = 5 and in the second group, 33 patients (91.7%) had GOS = 5 and 3 patients (8.3%) had GOS = 4 that were statistically not significant (P = 0.118). Conclusions: The results of this study showed that early discharge of patients with traumatic ICH had fairly similar outcome with patients with late discharge.

Cite This Article :

Article :