Treatment Outcomes of Elderly Patients with Acute Subdural Hematoma

Vu, Hai Minh; Doan, Anh Van; Nguyen, Diep The; Duong, Nam Nhu; Nguyen, Chau Minh; Nguyen, Duc Minh; Pham, Tu Duc; Nguyen, Cuong Duy

doi:10.30491/tm.2023.379672.1559

Treatment Outcomes of Elderly Patients with Acute Subdural Hematoma

Document Type : Original Article

Authors

Hai Minh Vu ¹

Anh Van Doan ¹

Diep The Nguyen ¹

Nam Nhu Duong ¹

Chau Minh Nguyen ¹

Duc Minh Nguyen ¹

Tu Duc Pham ¹

Cuong Duy Nguyen ²

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.

Keywords

Acute Subdural Hematoma

Elderly

Intracranial Hematoma

Traumatic Brain Injury

Subjects