Emergency Craniotomy and Burr-Hole Trephination in a Low-Resource Setting: Capacity Building at a Regional Hospital in Cambodia

Jingjing Hu, Vannara Sokh, Sophy Nguon, Yang Van Heng, Hans Husum, Roar Kloster, Jon Øyvind Odland and Shanshan Xu
Additional contact information
Jingjing Hu: Department of Public Health and Nursing, Norwegian University of Science and Technology, 7491 Trondheim, Norway
Vannara Sokh: Military Region 5 Hospital, Battambang, Cambodia
Sophy Nguon: Military Region 5 Hospital, Battambang, Cambodia
Yang Van Heng: Trauma Care Foundation Cambodia, Battambang, Cambodia
Hans Husum: Tromsø Mine Victim Resource Center, University Hospital North Norway, 9038 Tromsø, Norway
Roar Kloster: Tromsø Mine Victim Resource Center, University Hospital North Norway, 9038 Tromsø, Norway
Jon Øyvind Odland: Department of Public Health and Nursing, Norwegian University of Science and Technology, 7491 Trondheim, Norway
Shanshan Xu: Department of Public Health and Nursing, Norwegian University of Science and Technology, 7491 Trondheim, Norway

IJERPH, 2022, vol. 19, issue 11, 1-12

Abstract: To evaluate the teaching effect of a trauma training program in emergency cranial neurosurgery in Cambodia on surgical outcomes for patients with traumatic brain injury (TBI). We analyzed the data of TBI patients who received emergency burr-hole trephination or craniotomy from a prospective, descriptive cohort study at the Military Region 5 Hospital between January 2015 and December 2016. TBI patients who underwent emergency cranial neurosurgery were primarily young men, with acute epidural hematoma (EDH) and acute subdural hematoma (SDH) as the most common diagnoses and with long transfer delay. The incidence of favorable outcomes three months after chronic intracranial hematoma, acute SDH, acute EDH, and acute intracerebral hematoma were 96.28%, 89.2%, 93%, and 97.1%, respectively. Severe traumatic brain injury was associated with long-term unfavorable outcomes (Glasgow Outcome Scale of 1–3) (OR = 23.9, 95% CI: 3.1–184.4). Surgical outcomes at 3 months appeared acceptable. This program in emergency cranial neurosurgery was successful in the study hospital, as evidenced by the fact that the relevant surgical capacity of the regional hospital increased from zero to an acceptable level.

Keywords: low-resource settings; neurosurgical capacity; traumatic intracranial hematoma; medical training; Cambodia (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
References: View references in EconPapers View complete reference list from CitEc
Citations:

Downloads: (external link)
https://www.mdpi.com/1660-4601/19/11/6471/pdf (application/pdf)
https://www.mdpi.com/1660-4601/19/11/6471/ (text/html)

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:gam:jijerp:v:19:y:2022:i:11:p:6471-:d:824649

Access Statistics for this article

IJERPH is currently edited by Ms. Jenna Liu

More articles in IJERPH from MDPI
Bibliographic data for series maintained by MDPI Indexing Manager ().