Retrospective analysis of 19 cases of acute intracranial epidural hematoma treated by a medical resident
Caio Lopes Pinheiro de Paula, Carlos Umberto Pereira, Samuel Pedro Pereira Silveira
Abstract
Introduction: Medical residency is a higher education approach offered at certified health institutions abiding laws established by the Ministry of Health and Culture. The Neurosurgery Medical Residency Program from the Beneficent Surgical Hospital Foundation offers a five-year program at the Beneficent Surgical Hospital Foundation and the Urgent Care Hospital of Sergipe. Throughout the neurosurgical residency we observed the magnitude of traumatic accidents in Sergipe state and the need for intracranial epidural hematoma neurosurgery. Objective: This study aims to understand the outcomes of the surgical treatment of intracranial epidural hematoma conducted by neurosurgery residents. Methods: A convenient sample of 19 patients admitted from March 2014 to February 2017 and treated by one neurosurgery resident. Data collected included gender, age, Glasgow score at admission, hematoma location, diagnostic image, surgery duration, length of hospitalization and postoperative outcomes. Results: Descriptive analysis of the sample revealed a mean age of 32.4 years (±11.1), with a mean hospital stay of 19 days and mean surgical time of 2.7 hours (±0.9). Among the nineteen cases, eight required postoperative ICU care with a mean ICU stay of 9.4 days (±13.1). A total of 89.3% of patients were male, primarily victims of motorcycle accidents. On admission most patients had RASS 5 (21%) and GCS 15 (21%). Conclusion: Medical residency is very important in professional training. The result of the surgical treatment of the epidural hematoma is similar to that of the preceptors of the resident’s formation.
Keywords
References
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Submitted date:
07/07/2025
Accepted date:
07/10/2025
Publication date:
10/09/2025
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