Treatment Outcomes of Elderly Patients with Acute Subdural Hematoma

Document Type : Original Article

Authors

1 Department of Trauma, Thai Binh University of Medicine and Pharmacy, Thai Binh 410000, Vietnam.

2 Department of Intensive Care Unit, Thai Binh University of Medicine and Pharmacy, Thai Binh 410000, Vietnam.

10.30491/tm.2023.379672.1559

Abstract

Introduction: Determining the factors associated with treatment outcomes of patients with acute subdural hematoma is critical in clinical practice. This study evaluated factors related to poor outcomes in elderly patients with acute subdural hematoma following head trauma.
Methods: This cross-sectional study was conducted on 107 elderly patients with acute subdural hematoma treated at the Department of Neuro-Spine Surgery at Thai Binh General Hospital from July 2021 to August 2022. Multivariate analysis was performed to identify factors associated with poor treatment outcomes.
Results: Thirty-two out of 107 patients (21.5%) had poor outcomes after treatment. No statistically significant differences were found between age, gender, cause of injury, chronic diseases, Glasgow scale score upon admission, hematoma size, midline deviation, and combined injuries on computed tomography. Only impaired consciousness (GCS) was independently associated with poor outcomes in elderly patients with acute traumatic subdural hematomas.
Conclusion: The independent factor associated with poor outcomes in elderly patients with traumatic subdural hematoma is the poor 
level of consciousness upon admission.

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Trauma Monthly
Volume 28, Issue 5
November and December 2023
Pages 914-921

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History

  • Receive Date: 05 January 2023
  • Revise Date: 30 August 2023
  • Accept Date: 30 September 2023

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