Table 4.

Mild Health Trauma Impact of Delay on Outcome

First AuthorCiteYearDesignOutcomeEstimateComments
Sainsbury231984Case series (record review)Impairment0/7 patients with mild injury whose diagnosis of ICH delayed >24 h had impairmentIf disease severe, diagnosis made quickly (excluding intentional injury)
1/7 patients with head injury diagnosis of ICH delayed 5–24 h died2 patients seen early (<2 h), discharged, and returned; 2 patients admitted and diagnosis made later; 2 patients presented late; unclear which patient died (1 missing)
Snoek181984Case reportDeath1/780 patients with AIS 1 or 2Girl discharged home normal, returned “several” hours later and died; no mass by angiography (CT not applicable)
Children and adults together; includes moderate and severe
Chen201993Case series
(extradural hematoma)
OperationNo relationship delay (< or >6 h)
on need for surgery
74, GCS >12Mean age 25 y, distribution not given
Lobato221991Case series
(patients who deteriorate)
DeathNo correlation delay in diagnosis
with eventual outcome
211Children more likely to have diffuse swelling (39%) or epidural (29%)
Hatashita211993Case series
(subdural hematoma)
DeathNo relationship delay on outcome
(within 10 h)
60No children in GCS 7–14 group; GCS
best predictor of outcome.
Seelig191981Case series
(subdural hematoma, coma)
Death<4 h = 30% >4 h = 90%82All patients comatose; mean age 41 y;
not replicated
  • ICH indicates intracranial hematoma.