{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T01:12:03Z","timestamp":1790039523450,"version":"4.0.1"},"reference-count":48,"publisher":"MDPI AG","issue":"11","license":[{"start":{"date-parts":[[2022,5,26]],"date-time":"2022-05-26T00:00:00Z","timestamp":1653523200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Norwegian Ministry of Foreign Affairs"},{"name":"Trauma Care Foundation"},{"name":"University Hospital of Northern Norway"},{"name":"Norwegian University of Science and Technology"},{"name":"Military Region 5 Hospital"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>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\u20133) (OR = 23.9, 95% CI: 3.1\u2013184.4). 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.<\/jats:p>","DOI":"10.3390\/ijerph19116471","type":"journal-article","created":{"date-parts":[[2022,5,26]],"date-time":"2022-05-26T08:50:22Z","timestamp":1653555022000},"page":"6471","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Emergency Craniotomy and Burr-Hole Trephination in a Low-Resource Setting: Capacity Building at a Regional Hospital in Cambodia"],"prefix":"10.3390","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6952-0106","authenticated-orcid":false,"given":"Jingjing","family":"Hu","sequence":"first","affiliation":[{"name":"Department of Public Health and Nursing, Norwegian University of Science and Technology, 7491 Trondheim, Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vannara","family":"Sokh","sequence":"additional","affiliation":[{"name":"Military Region 5 Hospital, Battambang, Cambodia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sophy","family":"Nguon","sequence":"additional","affiliation":[{"name":"Military Region 5 Hospital, Battambang, Cambodia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yang Van","family":"Heng","sequence":"additional","affiliation":[{"name":"Trauma Care Foundation Cambodia, Battambang, Cambodia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hans","family":"Husum","sequence":"additional","affiliation":[{"name":"Troms\u00f8 Mine Victim Resource Center, University Hospital North Norway, 9038 Troms\u00f8, Norway"},{"name":"Department of Community Medicine, UiT the Arctic University of Norway, 9019 Troms\u00f8, Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roar","family":"Kloster","sequence":"additional","affiliation":[{"name":"Troms\u00f8 Mine Victim Resource Center, University Hospital North Norway, 9038 Troms\u00f8, Norway"},{"name":"Department of Neurosurgery, University Hospital of North Norway, 9038 Troms\u00f8, Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jon \u00d8yvind","family":"Odland","sequence":"additional","affiliation":[{"name":"Department of Public Health and Nursing, Norwegian University of Science and Technology, 7491 Trondheim, Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shanshan","family":"Xu","sequence":"additional","affiliation":[{"name":"Department of Public Health and Nursing, Norwegian University of Science and Technology, 7491 Trondheim, Norway"},{"name":"Center for International Health, Department of Global Public Health and Primary Care, University of Bergen, 5009 Bergen, Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2022,5,26]]},"reference":[{"key":"ref_1","unstructured":"United Nations (2021, May 14). 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