MARC details
000 -LEADER |
fixed length control field |
03254nam a22003977a 4500 |
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION |
fixed length control field |
221213s20222022 xxu||||| |||| 00| 0 eng d |
022 ## - INTERNATIONAL STANDARD SERIAL NUMBER |
International Standard Serial Number |
0022-4804 |
024 ## - OTHER STANDARD IDENTIFIER |
Standard number or code |
10.1016/j.jss.2022.10.042 [doi] |
024 ## - OTHER STANDARD IDENTIFIER |
Standard number or code |
S0022-4804(22)00673-4 [pii] |
040 ## - CATALOGING SOURCE |
Original cataloging agency |
Ovid MEDLINE(R) |
099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC) |
PMID |
36403407 |
245 ## - TITLE STATEMENT |
Title |
Risk Factors Associated With Neurosurgical Intervention in Patients With Mild Traumatic Intracranial Hemorrhage. |
251 ## - Source |
Source |
Journal of Surgical Research. 283:137-145, 2022 Nov 17. |
252 ## - Abbreviated Source |
Abbreviated source |
J Surg Res. 283:137-145, 2022 Nov 17. |
253 ## - Journal Name |
Journal name |
The Journal of surgical research |
260 ## - PUBLICATION, DISTRIBUTION, ETC. |
Year |
2022 |
260 ## - PUBLICATION, DISTRIBUTION, ETC. |
Manufacturer |
FY2023 |
260 ## - PUBLICATION, DISTRIBUTION, ETC. |
Publication date |
2022 Nov 17 |
265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE] |
Publication status |
aheadofprint |
266 ## - Date added to catalog |
Date added to catalog |
2022-12-13 |
520 ## - SUMMARY, ETC. |
Abstract |
CONCLUSIONS: Clinical factors and patient characteristics can be used to infer a greater risk of requiring NSI. These factors could reduce unnecessary transfers and hasten the transfer of patients more likely to progress to NSI. Copyright © 2022 Elsevier Inc. All rights reserved. |
520 ## - SUMMARY, ETC. |
Abstract |
INTRODUCTION: Community centers commonly transfer patients with traumatic intracranial hemorrhage (ICH) to level 1 and 2 trauma centers for neurosurgical evaluation regardless of the degree of injury. Determining risk factors leading to neurosurgical intervention (NSI) may reduce morbidity and mortality of traumatic ICH and the transfer of patients with lower risk of NSI. |
520 ## - SUMMARY, ETC. |
Abstract |
METHODS: A retrospective chart review was performed on patients admitted or transferred to a level 1 trauma center from October 2015 to September 2019 with Glassgow Coma Scale score 13-15 and traumatic ICH on initial head computerized tomography (CTH) scan. Bivariate analyses and multivariable regression were used to identify factors associated with progression to NSI. |
520 ## - SUMMARY, ETC. |
Abstract |
RESULTS: Of 1542 included patients, 8.2% required NSI. A greater proportion were male (69.1% versus 52.3%, P = 0.0003), on warfarin (37.7% versus 21.6%, P = 0.0023), presented with subdural hemorrhage (98.4% versus 63.3%, P < 0.0001, larger subdural hemorrhage size (median 19 mm [interquartile range {IQR}: 14-25] versus 5 mm [IQR: 3-8], P < 0.0001), and had a worsening repeat CTH (24.4% versus 13%, P < 0.0001). On physical examination, more patients had confusion (40.5% versus 31.4%, P = 0.0495) and hemiparesis (16.2% versus 2.6%, P < 0.0001). CTH findings of midline shift (80.2% versus 10.8%, P < 0.0001) and shift size (median 8.0 mm [IQR: 5.0-12.0] versus 4 mm [IQR: 3-5], P < 0.0001) were significantly associated with NSI. |
546 ## - LANGUAGE NOTE |
Language note |
English |
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
Topical term or geographic name entry element |
IN PROCESS -- NOT YET INDEXED |
656 ## - INDEX TERM--OCCUPATION |
Department |
Internal Medicine Residency |
656 ## - INDEX TERM--OCCUPATION |
Department |
MedStar General Surgery Residency |
656 ## - INDEX TERM--OCCUPATION |
Department |
MedStar Georgetown University Hospital/MedStar Washington Hospital Center |
657 ## - INDEX TERM--FUNCTION |
Medline publication type |
Journal Article |
700 ## - ADDED ENTRY--PERSONAL NAME |
Local Authors |
Patel, Puja |
Institution Code |
MGUH |
Program |
Internal Medicine Residency |
Degree |
DO |
Resident year |
Resident PGY 3 |
700 ## - ADDED ENTRY--PERSONAL NAME |
Local Authors |
Stansbury, Tara |
Institution Code |
MGUH |
Program |
MedStar General Surgery Residency |
Degree |
MD |
Resident year |
Resident PGY 2 |
790 ## - Authors |
All authors |
Broadwin M, Brown JB, Cipolle M, Duka S, Kincaid H, Pasquale J, Patel PD, Shah K, Stansbury T |
856 ## - ELECTRONIC LOCATION AND ACCESS |
DOI |
<a href="https://dx.doi.org/10.1016/j.jss.2022.10.042">https://dx.doi.org/10.1016/j.jss.2022.10.042</a> |
Public note |
https://dx.doi.org/10.1016/j.jss.2022.10.042 |
942 ## - ADDED ENTRY ELEMENTS (KOHA) |
Koha item type |
Journal Article |
Item type description |
Article |