![]() ![]() Predictors for Functional Recovery and Mortality of Surgically Treated Traumatic Acute Subdural Hematomas in 256 Patients. Acute subdural hematoma in adults : an analysis of outcome in comatose patients. Acute subdural hematoma : outcome and outcome prediction. KOC RK, AKDEMIR H, OKTEM IS, MERAL M, MENKÜ A.Factors influencing the outcome in acute subdural hematoma. Acute subdural hematoma: an analysis of 244 operated cases. JANG HS, LEE YB, CHUNG C, LEE KC, PARK YS, MOK JH.Acute subdural hematomas: an agedependent clinical entity. HOWARD MA, GROSS AS, DACEY RG, WINN HR.Acute subdural hematoma: severity of injury, surgical intervention, and mortality. HATASHITA S, KOGA N, HOSAKA Y, TAKAGI S.Prognosis after acute subdural or epidural hemorrhage. FELL DA, FITZGERALD S, MOIEL RH, CARAM P.Surgical management of acute subdural hematomas. BULLOCK MR, CHESNUT R, GHAJAR J, GORDON D, HARTL R, NEWELL DW.Table 2: Results of logistic regression on factors affecting functional recovery and mortality among patients with subdural haematoma Explanatory variables* The findings would help clinicians determine management criteria and improve survival. An increased risk of death occurs in patients who are over 61 years of age and have lower preoperative GCS, the presence of pupillary abnormalities and a long interval between trauma and decompression. This study has identified factors that influence outcome of patients with acute subdural hematomas in a Kenyan setup. Taussky et al (1) documented a mean time elapsed of 3 hours in a Swiss population while Haselsberger et al (22) and Stone et al (21) reported mean times of 2 hours and 4 hours respectively. However, the mean time elapsing from accident to surgery was 3 days in our series which is much longer than that reported in various other studies. However in our series, due to the retrospective nature of the study, we were unable to analyse the length of the period of herniation or duration of operation as independent predictors. Furthermore, patients operated on <24 hours after trauma had a higher rate of functional recovery (66.7%) than other patients (p=0.046). Furthermore, patients operated on 61 years had good functional recovery as compared to 50% and 57.4% patients aged 4 days after trauma who had mortality of 31.3% and 44.4% respectively (p=0.046). ![]() Of the patients with GCS scores 61 years had good functional recovery as compared to 50% and 57.4% patients aged 4 days after trauma who had mortality of 31.3% and 44.4% respectively (P=0.046). Patients aged older than 61 years had a significantly higher mortality rate (30.6%) and a lower rate of good functional recovery (24.5%) (P=0.073). ![]() Fifty two patients (20.1%) died while hospitalized while good functional recovery was attained by 118 (45.6%). The most common cause of injury was assault (44.8%) with road traffic and falls accounting for 24.7% and 30.5%. Analysis was carried out using Statistical Package for Social Sciences (SPSS) version 11.5 and multivariate logistic regression analysis used to evaluate the influence of clinical variables on outcome.Ī total of 259 patients were diagnosed with acute subdural hematomas during the study period. We reviewed the records of patients who were diagnosed with traumatic ASDH between January 2000 and December 2009. However, few studies have examined prognostic factors of outcome in isolated traumatic ASDH. Acute subdural haematoma (ASDH) is one of the most common traumatic neurosurgical emergencies with a high mortality rate. ![]()
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