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Relevancy of positive trends in mortality and functional recovery after surgical treatment of acute subdural hematomas. Our 10-year experience
- Source :
- British Journal of Neurosurgery. 31:78-83
- Publication Year :
- 2016
- Publisher :
- Informa UK Limited, 2016.
-
Abstract
- Among traumatic brain injuries, acute subdural hematoma (aSDH) is considered one of the most devastating still retaining poor surgical outcomes in a considerable percentage of affected patients. However, according to results drawn from published samples of aSDH patients, overall mortality and functional recovery have been progressively ameliorating during the last decades.We present a retrospective analysis of 316 consecutive cases of post-traumatic aSDH operated on between 2003 and 2011 at our institution.Mortality was 67% (n = 212); a useful recovery was achieved in 16.4% cases (n = 52). Age65 years, a preoperative Glasgow coma scale (GCS) ≤ 8, specific pre-existing medical comorbidities (hypertension, heart diseases) were found to be strong indicators of unfavorable outcomes and death during hospitalization.Our results, compared with those of the inherent literature, led the authors to question both the "aggressiveness" of neurosurgical care indications in certain subpopulations of patients being known to fare worse or even die regardless of the treatment administered and the relevance of the results concerning mortality and functional recovery reported by third authors.
- Subjects :
- Adult
Male
Decompressive Craniectomy
medicine.medical_specialty
Heart Diseases
Traumatic brain injury
Neurosurgical Procedures
03 medical and health sciences
Postoperative Complications
0302 clinical medicine
Brain Injuries, Traumatic
medicine
Retrospective analysis
Hematoma, Subdural, Acute
Humans
Glasgow Coma Scale
030212 general & internal medicine
Surgical treatment
Aged
Retrospective Studies
Aged, 80 and over
business.industry
Age Factors
Subdural hemorrhage
Recovery of Function
General Medicine
Middle Aged
Subdural Hematomas
Functional recovery
medicine.disease
Surgery
Treatment Outcome
Anesthesia
Hypertension
Female
Neurology (clinical)
Tomography, X-Ray Computed
business
Acute subdural hematoma
030217 neurology & neurosurgery
Subjects
Details
- ISSN :
- 1360046X and 02688697
- Volume :
- 31
- Database :
- OpenAIRE
- Journal :
- British Journal of Neurosurgery
- Accession number :
- edsair.doi.dedup.....1f08104f54b397b556f0d0349fca75a3