Abstract

PROFILE OF EPIDURAL HEMATOMA PATIENTS IN RSUP DR M DJAMIL

PADANG PERIOD JANUARY 2018 – JULY 2018

Leonard K. Saleh*, Syaiful Saanin” , Hesty Lidya Ningsih”

*Resident, Departement General Surgery, Faculty of Medicine Andalas
University / M Djamil Hospital

“Departemen of Neurosurgery, M Djamil Hospital

Introduction
Head injury is one of major health problem in the world that often causes deaths in
second and fourth decade of life. An important complication of head injury is acute
epidural hematoma. Epidural hematoma (EDH) is blood accumulation located
between skull bones and dura mater that occurred in 1-5% of head injury cases. The
classic features of EDH are lucid interval that occurred in few hours after decreasing
consciousness and sometimes accompanied by focal neurological signs. EDH is a
neurosurgery case that should be treated surgically. EDH may progress to coma and
death if not treated.

Method
In this study, we investigated EDH clinical outcomes and prevalence of EDH in
RSUP M. Djamil Padang, West Sumatera. The study conducted in 2018 with 30
medical records of EDH patients who were hospitalized with surgical intervention
in RSUP M. Djamil Padang from January to July 2018.

Result
The samples of this study consist of 17 (65,3%) male patients and 9 (34,7%) female
patients. Based on patients’ age group, most of patients who survived after surgical
intervention were <20 years old group (88%), followed by 20-40 years old (75%)
and >40 years old (40%). At the same time, most of patients who died after
intervention came from >40 years old (60%), followed by 20-40 years old (25%)
and <12 years old group (12%).

Based on patients’ consciousness level, most of patients who survived after

intervention have GCS 14-15 (75%), followed by patients with GCS 9-13 (75%)
and GCS 3-8 (70%), whereas most of patients who died after intervention have
GCS 3-8 (30%) and GCS 9-13 (25%) dan GCS 14-15 (25%). Based on onset, most
of patients who survived after intervention in minimal 24 hours (84%) and followed
by then patients survived after intervention in < 24 hours (80%), meanwhile patients
with EDH died after intervention in >24 hours (16%) and followed with patients
who died <24 hours after intervention (20%).
Conclusion
Most of patients who survived and died come from <20 years old group. Patients
with GCS 9-13 contributed a large of survived patients, meanwhile patients with
GCS 3-8 given the opposite results. Patients with onset>24 hours had a large of
survived patients.

Key words: Head Injury, EDH, GCS, Onset.