Characteristics of Patients with Epidural Hemorrhage in Head Injury at a RSUP Prof. Dr. I.G.N.G Ngoerah in 2022

Abstract

Introduction: Head injury is a condition of brain disorder that often occurs in Indonesia and 2 out of 100 head injury cases are epidural hematoma (EDH), which is intracranial hemorrhage where there is an accumulation of blood between the dura mater and internal tabula. Therefore, it is necessary to review the characteristics of epidural hemorrhage. This study aims to determine the characteristics of EDH patients in head injuries at RSUP Prof. Dr. I. G. N. G Ngoerah in 2022. Materials and Methods: This study used a retrospective descriptive method. The data were collected through medical records of epidural hemorrhage patients in 2022 at Prof. Dr. I. G. N. G Hospital, then analyzed descriptively using SPSS version 26. Results: From 88 cases obtained, most of them were male (79.5%), including the age group of adolescents and young adults with an age range of 15–24 years (35.2%). The most common case was mild head injury with a Glasgow Coma Scale of 14–15 (47.7%), bleeding volume in the interval 0–25 cc (60.2%), and found without midline shift (54.5%). Most patients had linear fractures (80.7%) and the majority of patients had bleeding in the temporal region (40.3%). Furthermore, more patients received conventional management (51.1%) than patients with craniotomy surgery (48.9%). Conclusion: In this study, adolescent male patients predominated. Mild head injury was the most common case with a bleeding volume of 0–25 cc without midline shift. Linear fracture and bleeding in the temporal region was the most characteristic result of epidural bleeding with nonoperative management found in most of the patients.