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

Author

Listed:
  • 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
    Department of Community Medicine, UiT the Arctic University of Norway, 9019 Tromsø, Norway)

  • Roar Kloster

    (Tromsø Mine Victim Resource Center, University Hospital North Norway, 9038 Tromsø, Norway
    Department of Neurosurgery, University Hospital of 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
    Center for International Health, Department of Global Public Health and Primary Care, University of Bergen, 5009 Bergen, Norway)

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.

Suggested Citation

  • Jingjing Hu & Vannara Sokh & Sophy Nguon & Yang Van Heng & Hans Husum & Roar Kloster & Jon Øyvind Odland & Shanshan Xu, 2022. "Emergency Craniotomy and Burr-Hole Trephination in a Low-Resource Setting: Capacity Building at a Regional Hospital in Cambodia," IJERPH, MDPI, vol. 19(11), pages 1-12, May.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:11:p:6471-:d:824649
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    References listed on IDEAS

    as
    1. Andrés M. Rubiano & Nancy Carney & Randall Chesnut & Juan Carlos Puyana, 2015. "Global neurotrauma research challenges and opportunities," Nature, Nature, vol. 527(7578), pages 193-197, November.
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