典型文献
Chronic subdural haematoma during the COVID-19 lockdown period: late presentation with a longer interval from the initial head injury to the final presentation and diagnosis
文献摘要：
Background::The COVID-19 novel coronavirus is contagious, and the mortality is higher in the elderly population. Lockdown in different parts of the world has been imposed since January 2020. Chronic subdural haematoma (cSDH) has a unique natural history in which symptoms can be non-specific, and the onset is insidious. This study aims to evaluate the impact of the COVID-19 pandemic on the presentation of cSDH.Methods::Consecutive adult cSDH patients admitted from 1 March 2020 to 30 April 2020 were reviewed. Exclusion criteria including those who had no definite history of head injury or the diagnosis of cSDH were made from a scheduled follow-up scan. Corresponding data during the same period in 2019 were reviewed for comparison. The primary outcome was the interval between the initial head injury and the final radiological diagnosis of cSDH. Secondary outcomes include Markwalder chronic subdural haematoma grade upon admission, length of stay in the acute hospital, and the modified Rankin scale (mRS) upon discharge.Results::For the primary outcome, the average interval between head injury and the diagnosis of cSDH was significantly longer at 56.6 days (49 to 74 days, SD 9.83 days) during the period from March to April 2020, versus 29.4 days (17 to 42 days, SD 8.59 days) in 2019 for the corresponding period (
p = 0.00703). There was no significant difference in the functional outcome upon discharge.
Conclusions::cSDH patients can present late during the COVID-19 lockdown period. The functional outcome was comparable when operations for drainage were timely performed.
文献关键词：
Chronic subdural haematoma;Novel coronavirus;COVID-19;Head injury
中图分类号：
作者姓名：
Chan David Yuen Chung;Poon Wai Sang;Chan Danny Tat Ming;Mak Wai Kit;Wong George Kwok Chu
作者机构：
Division of Neurosurgery, Department of Surgery, Faculty of Medicine, The Chinese University of Hong Kong, Prince of Wales Hospital, Hong Kong SAR, China
文献出处：
引用格式：
[1]Chan David Yuen Chung;Poon Wai Sang;Chan Danny Tat Ming;Mak Wai Kit;Wong George Kwok Chu-.Chronic subdural haematoma during the COVID-19 lockdown period: late presentation with a longer interval from the initial head injury to the final presentation and diagnosis)[J].中华神经外科杂志（英文）,2022(01):31-35
A类：
haematoma,cSDH
B类：
Chronic,subdural,during,lockdown,period,late,presentation,longer,interval,from,initial,head,injury,final,diagnosis,Background,novel,coronavirus,contagious,mortality,higher,elderly,population,Lockdown,different,parts,world,has,been,imposed,since,January,unique,natural,history,which,symptoms,specific,onset,insidious,This,study,aims,evaluate,impact,pandemic,Methods,Consecutive,adult,patients,admitted,March,April,were,reviewed,Exclusion,criteria,including,those,who,had,definite,made,scheduled,follow,scan,Corresponding,data,same,comparison,primary,was,between,radiological,Secondary,outcomes,include,Markwalder,chronic,grade,upon,admission,length,stay,acute,hospital,modified,Rankin,scale,mRS,discharge,Results,For,average,significantly,days,versus,corresponding,There,difference,functional,Conclusions,comparable,when,operations,drainage,timely,performed,Novel,Head
AB值：
0.476428
相似文献
机标中图分类号，由域田数据科技根据网络公开资料自动分析生成，仅供学习研究参考。
