Factors influencing the outcome of patients with traumatic acute subdural hematoma (ASDH) – A single centre analysis

Arumugam, Ganesh; Krishnaswamy, Visvanathan; Nair, Jishnu Narayanan; Vivek, V.; Naidu, Bhaskar; Krishnamurthy, G.

doi:10.1016/j.inat.2021.101130

Cited by 1 publication

(2 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The GCS is a practical classification method that directly reflects brain damage, reflects clinical status, and provides information on survival during follow-up. The GCS at presentation has been regarded as one of the most important predictors of surgical outcome in acute subdural hematoma [ 5 , 7 , 8 , 10 , 11 ]. Lower GCS scores were associated with a higher incidence of mortality and residual disability.…”

Section: Discussionmentioning

confidence: 99%

“…Several factors have been implicated in the prognosis of ASDH. These include Glasgow coma scale (GCS) score, pupillary abnormalities, systemic blood pressure, respiratory rate, glycaemic status, length of hospital stay, hypoxia, presence or absence of a subarachnoid bleed, and intraventricular hemorrhage [ 6 , 7 , 9 , 10 , 11 ]. Prompt surgical intervention has been shown to reduce the mortality rate of ASDH if the subdural hematoma was removed within four hours after injury [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

The Outcomes of Traumatic Acute Subdural Hematoma in a Tertiary Center in Abuja, Nigeria

Igbokwe¹,

Ayogu²,

Onobun³

et al. 2021

Cureus

View full text Add to dashboard Cite

BackgroundAcute traumatic subdural hematoma is life-threatening and is associated with high unfavorable outcomes in developing countries. ObjectiveWe aim to identify factors contributing to outcomes after severe traumatic brain injury (TBI) due to acute subdural hematoma (SDH) in patients admitted to National Hospital Abuja, Nigeria. MethodsThis was a retrospective review of 34 patients who consecutively underwent neurosurgery for acute SDH over five years (from January 2015 to December 2019). Demographic data, clinical characteristics, and the time intervals from injury to surgery were investigated to determine the interactions between all these factors and outcome. Outcome was graded according to the Glasgow outcome scale at the threemonth follow-up. ResultsOut of 34 patients who had surgical evacuation for traumatic acute subdural hematoma, 15 patients died (44.1%). A significant correlation was identified between outcome and the Glasgow coma scale score at admission. No significant correlation was seen between the outcome and the age, gender and the time from injury to surgery (chi 2 test, p>0.05). ConclusionThe rate of unfavorable outcomes in acute subdural hematoma is high. The Glasgow coma score at admission is an important predictor for outcome in traumatic acute subdural hematoma.

show abstract