TY  - JOUR
PY  - 2017//
TI  - Injuries associated with subdural hematoma: a study of the National Trauma Data Bank
JO  - Connecticut medicine
A1  - Anandasivam, Nidharshan S.
A1  - Russo, Glenn S.
A1  - Samuel, Andre M.
A1  - Grant, Ryan
A1  - Bohl, Daniel D.
A1  - Grauer, Jonathan N.
SP  - 215
EP  - 222
VL  - 81
IS  - 4
N2  - Of 92030 patients with subdural hematoma (SDH) in the National Trauma Data Bank (NTDB), 55729 had fall mechanisms of injury (61%), while 36301 had other traumatic mechanisms (nonfall, 39%). For nonfall mechanisms, the three associated injuries with the highest incidence were: skull fractures (43.3%), rib/sternum injuries (25.0%), and thoracic organ injuries (24.0%). For fall mechanisms, the three associated injuries with the highest incidence were: skull fractures (19.0%), spinal injuries (7.1%), and upper extremity fractures (6.8%). Mortality was associated with age and most studied associated injuries (odds ratios ofup to 2.04). 'This study conveys an important clinical point: even though traditional teaching highlights the risk of noncontiguous spine fractures in patients with a known spine fracture, the risk of a noncontiguous spine fracture is higher when dealing with a patient with SDH. This is underscored by the fact that mortality is higher for SDH patients with other associated injuries.<p />  <p>Language: en</p>
LA  - en
SN  - 0010-6178
UR  - http://dx.doi.org/
ID  - ref1
ER  -