A 5-year study of the outcome of surgically treated XXXX .

@entity1 @entity131 @entity13668 @entity281 @entity86 @entity32933
BACKGROUND: Many changes and improvement have taken place in the management of head injured @entity1 in the last 20 years. There have been few recent studies analysing the overall outcomes including early complications of @entity13668 . The aim of our study was, therefore, to examine the factors influencing the surgical outcome of @entity1 with @entity13668 . METHODS: We reviewed case notes of 73 consecutive surgically treated @entity13668 during the period from 1 January 1994 to 31 December 1998 admitted to the Walton Centre for Neurology and Neurosurgery, Liverpool. RESULTS: There was a male preponderance of 9:1. Alleged assault was the most common cause of @entity13668 followed by road traffic accidents. @entity86 rate was 8.2%. More than 80% of @entity1 received prophylactic antibiotics. We failed to show any statistically significant association between the use of antibiotics and @entity281 . However, prevalence of infection was significantly associated with @entity131 , low GCS score and dural tear (P < 0.05). Prevalence of early @entity32933 was 12.3%. No @entity1 received prophylactic anticonvulsants. There was no significant association between dural tear and prevalence of @entity32933 . Mortality rate was 1.4%. CONCLUSIONS: Paediatric populations have better outcome; 7 out of 10 @entity1 in this series progressed to full recovery. Use of prophylactic antibiotics did not reduce the infection rate. Presence of dural tear was not associated with an increase risk of @entity32933 .
