ArticleJournal of personalized medicine2022
Does the Timing of the Surgery Have a Major Role in Influencing the Outcome in Elders with Acute Subdural Hematomas?
Article in Journal of personalized medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.
What it found
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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
8 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.
- The Impact of Time-to-Intervention on Mortality and Functional Outcome in Acute Subdural Hematoma: A Systematic Review and Meta-Analysis.Medical sciences (Basel, Switzerland) · 2026Pooled it
- Surgical timing and mortality in acute traumatic subdural hematoma: is the four-hour threshold confounded by injury severity?European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Article
- Clinical outcomes and hemorrhagic or thromboembolic risks in decompressive craniectomy for patients taking antiplatelet or anticoagulant therapy.Neurosurgical review · 2025Article
- RADAR - Radiomics on aSDH: predicting outcome with surface area.Acta neurochirurgica · 2025Article
- Sex and age differences in patients treated surgically for acute subdural hematoma.Brain & spine · 2025Article
- Review
- Outcome after decompressive craniectomy in older adults after traumatic brain injury.Frontiers in medicine · 2024Article
- Prognostic Factors of Mortality and Functional Outcome for Acute Subdural Hematoma: A Review Article.Asian journal of neurosurgery · 2023Review
Corrections and comments
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Authors and funding
12 authors at 7 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe incidence of traumatic acute subdural hematomas (ASDH) in the elderly is increasing. Despite surgical evacuation, these patients have poor survival and low rate of functional outcome, and surgical timing plays no clear role as a predictor. We investigated whether the timing of surgery had a major role in influencing the outcome in these patients.
methodsWe retrospectively retrieved clinical and radiological data of all patients ≥70 years operated on for post-traumatic ASDH in a 3 year period in five Italian hospitals. Patients were divided into three surgical timing groups from hospital arrival:
resultsWe included 136 patients. About 33% died as a result of the consequences of ASDH and among the survivors, only 24% were in good functional outcome at discharge. Surgical timing groups appeared different according to presenting the Glasgow Outcome Scale (GCS), which was on average lower in the
conclusionsAn earlier surgery was offered to patients with worse clinical-radiological findings. Additionally, after stratification for GCS, it was not associated with better outcome. Among the radiological markers, preoperative midline shift was the strongest outcome predictor.
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