Analyses of clinical prognostic factors in operated traumatic acute subdural hematomas.

BACKGROUND Traumatic acute subdural hematoma is the most lethal of all head injuries. METHODS In this study, 113 patients with the diagnosis of posttraumatic acute subdural hematoma, who were operated between 1998 and 2006, were reviewed retrospectively. Statistical analysis was performed to detect any effects of the variables of age, Glasgow Coma Scale (GCS) score on admission, time interval between the trauma and operation, and abnormality in the pupil reaction on the disease mortality and morbidity. RESULTS Results obtained in the study are discussed and compared with the related current literature. The overall mortality in 113 patients was 56.6%. CONCLUSION According to the results, the most important determinants of the prognosis are GCS score of the patient on admission, abnormality in pupil reaction, timing of the operation, and the patient's age.

[1]  Jamshid Ghajar,et al.  Surgical management of acute subdural hematomas. , 2006, Neurosurgery.

[2]  F. Servadei.  Prognostic factors in severely head injured adult patients with acute subdural haematoma's , 2005, Acta Neurochirurgica.

[3]  L. Auer,et al.  Prognosis after acute subdural or epidural haemorrhage , 2005, Acta Neurochirurgica.

[4]  E. Kaptanoğlu,et al.  [Acute subdural hematomas: surgical treatment. Retrospective analysis of 73 cases]. , 2001, Ulusal travma dergisi = Turkish journal of trauma & emergency surgery : TJTES.

[5]  Sanguansin Ratanalert,et al.  Outcome and outcome prediction in acute subdural hematoma. , 1993, Surgical neurology.

[6]  S. Kamm.  Acute subdural hematoma: Morbidity, mortality and operative timing , 1991 .

[7]  R G Dacey,et al.  Acute subdural hematomas: an age-dependent clinical entity. , 1989, Journal of neurosurgery.

[8]  R. Moody,et al.  Subdural hematomas: I. Acute subdural hematoma: Progress in definition, clinical pathology, and therapy , 1983 .

[9]  J. Miller,et al.  Traumatic acute subdural hematoma: major mortality reduction in comatose patients treated within four hours. , 1981, The New England journal of medicine.

[10]  B. Young,et al.  Early prediction of outcome in head-injured patients. , 1981, Journal of neurosurgery.

[11]  B Jennett,et al.  Prognosis of patients with severe head injury. , 1979, Neurosurgery.

[12]  P. Cooper,et al.  Hemicraniectomy in the treatment of acute subdural hematoma: a re-appraisal. , 1976, Surgical neurology.