" Neurosurgical Emergencies in mardan medical complex: A Cross-Sectional Study"
DOI:
https://doi.org/10.70765/7zfjzt48Keywords:
Neurological emergencies, spinal cord injury, epidural hematoma, subdural hematoma, traumatic brain injury, age-related variations, neurotrauma management.Abstract
Objective: To analyze the age-related variations in neurological emergencies, including spinal cord injury, epidural hematoma, subdural hematoma, and traumatic brain injury, and to assess their clinical significance across different age groups.
Method: A retrospective analysis was conducted on patients with neurological emergencies, categorized into three age groups: 17–25, 25–35, and 35–42 years. The frequency of spinal cord injury, epidural hematoma, subdural hematoma, and traumatic brain injury was compared across age groups using statistical analysis, with significance determined by p-values.
Result: Spinal cord injury was most common in the 25–35 age group (73.4%), but no significant difference was observed between age groups (p = 0.99). Epidural hematoma and subdural hematoma showed significant age-related differences (p = 0.001 and p = 0.016, respectively), with increasing prevalence in older age groups. Traumatic brain injury was most frequent in the 17–25 age group (17.5%), absent in the 25–35 age group, and reemerged in the 35–42 age group (13.3%) (p = 0.001).
Conclusion: The study highlights significant age-related variations in neurological emergencies, with older individuals being more susceptible to epidural and subdural hematomas, while younger individuals have a higher incidence of traumatic brain injuries. Spinal cord injuries showed no significant difference across age groups. These findings emphasize the need for targeted prevention and age-specific management strategies to improve clinical outcomes.
Downloads
References
1: Khan, M. A., & Khan, M. N. (2020). "Traumatic Brain Injuries in Low- and Middle-Income Countries: A Systematic Review of Epidemiology and Outcomes." World Neurosurgery, 135, 297-305.
2: World Health Organization. (2020). "Global Status Report on Road Safety 2020." Geneva: WHO.
3: Ali, M., & Khan, M. (2021). "Neurosurgical Care in Resource-Limited Settings: A Review of Challenges and Solutions." Journal of Neurosurgery, 134(2), 567-575.
4: Raza, S. M., & Siddiqui, A. A. (2021). "Epidemiology of Traumatic Brain Injuries in Pakistan: A Hospital-Based Study." Journal of Trauma and Acute Care Surgery, 90(4), 789-795.
5: Ahmed, S., & Hussain, S. (2022). "Healthcare Challenges in Rural Pakistan: A Case Study of Khyber Pakhtunkhwa." BMC Health Services Research, 22(1), 1-10.
6: Khan, A., & Rehman, A. (2022). "Patterns of Neurosurgical Emergencies in Low-Resource Settings: A Cross-Sectional Study." Journal of Neurosurgical Sciences, 66(3), 234-241.
7: Bashir, F., & Ali, Z. (2023). "Delayed Presentation of Neurosurgical Emergencies in Pakistan: Causes and Consequences." Pakistan Journal of Medical Sciences, 39(1), 123-129.
8: Hussain, M., & Khan, S. (2023). "Impact of Road Traffic Accidents on Neurosurgical Burden in Khyber Pakhtunkhwa." Journal of Pakistan Medical Association, 73(2), 345-350.
9: Malik, A., & Khan, T. (2023). "Challenges in Neurosurgical Training and Practice in Pakistan." Neurosurgery Review, 46(1), 1-8.
10: Rehman, S., & Ahmed, N. (2023). "Telemedicine in Neurosurgery: A Potential Solution for Rural Healthcare Challenges in Pakistan." Telemedicine and e-Health, 29(4), 567-573.
11: A.B. Peterson et al. Disparities in traumatic brain injury-related deaths-United States, 2020 J. Saf. Res. (2022)
12: H. Hoffman et al. Use of intracranial pressure monitoring in patients with severe traumatic brain injury World Neurosurg.(2020)
13: F. Al Saiegh et al. Comparison of outcomes of severe traumatic brain injury in 36,929 patients treated with or without intracranial pressure monitoring in a mature trauma system World Neurosurg. (2020)
14: J.K. Yue et al. Predictors of extreme hospital length of stay after traumatic brain injury World Neurosurg. (2022)
15: D.J. Olivieri et al. Geospatial mapping of international neurosurgical partnerships and evaluation of extent of training and engagement World Neurosurg (2020).
16: T.A. Oyemolade et al. The burden of neurosurgical diseases in a rural southwestern Nigeria setting World Neurosurg (2020).
17: J.-K. Emejulu et al. Developing a guideline for neurotrauma in Nigeria World Neurosurg (2020).
18: R.M. Naylor et al. High long-term mortality rate in elderly patients with mild traumatic brain injury and subdural hematoma due to ground-level fall: neurosurgery’s hip fracture? World Neurosurg (2022).
19: A.K. Ukachukwu et al. Fulfilling the specialist neurosurgical workforce needs in Africa: a systematic review and projection toward 2030 J Neurosurg (2022)
20: M. Ackah et al. Estimated incidence and case fatality rate of traumatic brain injury among children (0-18 years) in Sub-Saharan Africa. A systematic review and meta-analysis PLoS One (2021).
Downloads
Published
Issue
Section
License
Copyright (c) 2025 dr saad (Author)
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
You are free to:
- Share — copy and redistribute the material in any medium or format
- The licensor cannot revoke these freedoms as long as you follow the license terms.
Under the following terms:
- Attribution — You must give appropriate credit , provide a link to the license, and indicate if changes were made . You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- NonCommercial — You may not use the material for commercial purposes .
- NoDerivatives — If you remix, transform, or build upon the material, you may not distribute the modified material.
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
Notices:
You do not have to comply with the license for elements of the material in the public domain or where your use is permitted by an applicable exception or limitation .
No warranties are given. The license may not give you all of the permissions necessary for your intended use. For example, other rights such as publicity, privacy, or moral rights may limit how you use the material.
How to Cite
