ArticleNeurologia medico-chirurgica2020
Factors Associated with Poor Outcomes in Patients with Mild or Moderate Acute Subdural Hematomas.
Article in Neurologia medico-chirurgica, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- Clinical characteristics and functional outcome of surgically treated adult head trauma patients with acute subdural hematoma: Ethiopian tertiary hospitals experience.World neurosurgery: X · 2024Article
- Development and internal validation of a nomogram for predicting outcomes in children with traumatic subdural hematoma.Acute and critical care · 2022Article
- Changes in Outcomes after Discharge from an Acute Hospital in Severe Traumatic Brain Injury.Neurologia medico-chirurgica · 2022Article
- Gender Discrepancy in Patients with Traumatic Brain Injury: A Retrospective Study from a Level 1 Trauma Center.BioMed research international · 2022Article
- Evaluation of the prognosis of acute subdural hematoma according to the density differences between gray and white matter.Frontiers in neurology · 2022Article
- Traumatic acute subdural hematoma and coma: retrospective cohort of surgically treated patients.Surgical neurology international · 2021Article
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7 authors.
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Abstract
The factors influencing the outcomes of mild/moderate acute subdural hematoma (ASDH) are still unclear. Retrospective analyses were performed to identify such factors. The medical records of all patients who were admitted to Saiseikai Shiga Hospital with mild (Glasgow Coma Scale [GCS] score of 14-15) or moderate (GCS score of 9-13) ASDH between April 2008 and March 2017 were reviewed. Comparisons between the patients who exhibited favorable and poor outcomes were performed. Then, independent factors that contributed to poor outcomes were identified via logistic regression analyses. A total of 266 patients with a mean age of 70.2 were included in this study. The most common concomitant injuries were subarachnoid hemorrhages (SAHs; 56.8%). The patients' Injury Severity Scores (ISS) ranged from 16 to 75 (median: 21). The 66 moderate ASDH patients exhibited significantly higher frequencies of surgery and mortality (24.2% and 13.6%, respectively) than the 200 mild ASDH patients (8.0% and 4.5%, respectively). The factors associated with poor outcomes were age (odds ratio [OR]: 1.06) and the ISS (OR: 1.24) in the mild ASDH patients, and older age (OR: 1.09) and the higher ISS (OR: 1.15) in the moderate group, too.
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