Treatment Outcomes of Elderly Patients with Acute Subdural Hematoma

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 ۱۰۷ elderly patients with acute subdural hematoma treated at the Department of Neuro-Spine Surgery at Thai Binh General Hospital from July ۲۰۲۱ to August ۲۰۲۲. Multivariate analysis was performed to identify factors associated with poor treatment outcomes. Results: Thirty-two out of ۱۰۷ patients (۲۱.۵%) 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