SynthesisThe journals of gerontology. Series A, Biological sciences and medical sciences2021
Surgical Management of Chronic Subdural Hematoma in Older Adults: A Systematic Review.
Synthesis in The journals of gerontology. Series A, Biological sciences and medical sciences, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 30 citations in OpenAlex.
- Anticoagulant and antiplatelet management in geriatric patients with chronic subdural hematoma: A systematic review.Neurosurgical review · 2026Pooled it
- Middle meningeal artery embolization for chronic subdural hematoma in octogenarians and nonagenarians: an individual patient pooled meta-analysis.Neurosurgical review · 2025Pooled it
- Modified surgical technique for recurrent organized chronic subdural hematoma: a preliminary retrospective case series.Frontiers in surgery · 2026Article
- A novel paradigm for chronic subdural hematoma: regenerative medicine strategies targeting the pathological microenvironment.Frontiers in cell and developmental biology · 2026Review
- What happens to conservatively managed chronic subdural haematoma.Acta neurochirurgica · 2025Article
- Article
- Synergistic effects of hyperbaric oxygen therapy combined with MPNFS nursing model on neurological recovery and recurrence prevention after chronic subdural hematoma surgery.Frontiers in neurology · 2025Article
- Additional treatment after primary conservative treatment in patients with chronic subdural hematoma-A retrospective study.Brain and behavior · 2024Article
- Do we need a neurosurgical frailty index?Surgical neurology international · 2024Article
- Comparison of surgical strategies in patients with chronic subdural haematoma: a protocol for a network meta-analysis.BMJ open · 2023Article
- Controversies in the Surgical Treatment of Chronic Subdural Hematoma: A Systematic Scoping Review.Diagnostics (Basel, Switzerland) · 2022Article
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5 authors at 3 institutions in 1 country.
Funding
Abstract
backgroundChronic subdural hematoma (cSDH) is a form of intracranial hemorrhage common in older adults. Optimal treatment remains controversial. We conducted a systematic review to identify surgical thresholds, characterize outcomes, and delineate critical considerations in the surgical management of older adults in order to summarize the evidence supporting the best contemporary management of cSDH.
methodsA systematic review exploring surgical management of cSDH among individuals aged 65 years and older was conducting by searching the PubMed, Embase, and Scopus databases for articles in English. Abstracts from articles were read and selected for full-text review according to a priori criteria. Relevant full-text articles were analyzed for bibliographic data, aim, study design, population, interventions, and outcomes.
resultsOf 1473 resultant articles, 21 were included. Surgery rationale was case-by-case for symptomatic patients with cSDH. Surgery was superior to conservative management and promoted equivalent neurologic outcomes and rates of complications. Recurrence and reoperation rates in older adults were similar to younger individuals. Some studies reported higher mortality rates for older adults, while others reported no difference. Anticoagulation or antiplatelet agent use did not seem to be associated with poorer outcomes in older adults.
conclusionsSurgery for cSDH in older adults leads to favorable neurologic outcomes without increased risk of overall complications, recurrence, or reoperation compared to younger patients. However, older adults may be at increased risk for mortality after surgery. It is important to determine use of anticoagulant or antiplatelet agents in older adults to optimally manage patients with cSDH.
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