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Risk factors associated with mortality and survival of acute subdural hematoma: A retrospective study

BACKGROUND: Acute subdural hematoma (ASDH) is mostly seen after head injury and is a major cause of morbidity and mortality. We studied the risk factors for ASDH and the effects of these factors on mortality as well as on survival with 100 cases from the rural area of Anatolia region. MATERIALS AND...

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Autores principales: Atalay, Tugay, Ak, Hakan, Gülsen, Ismail, Karacabey, Sinan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6450130/
https://www.ncbi.nlm.nih.gov/pubmed/31007697
http://dx.doi.org/10.4103/jrms.JRMS_14_16
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author Atalay, Tugay
Ak, Hakan
Gülsen, Ismail
Karacabey, Sinan
author_facet Atalay, Tugay
Ak, Hakan
Gülsen, Ismail
Karacabey, Sinan
author_sort Atalay, Tugay
collection PubMed
description BACKGROUND: Acute subdural hematoma (ASDH) is mostly seen after head injury and is a major cause of morbidity and mortality. We studied the risk factors for ASDH and the effects of these factors on mortality as well as on survival with 100 cases from the rural area of Anatolia region. MATERIALS AND METHODS: One-hundred cases of the ASDH that had been treated surgically between 2011 and 2014, at three different health-care centers from the rural area of Anatolia region, were retrospectively reviewed. Demographic data of patients, etiology, Glasgow Coma Scale (GCS) on admission, survival, presence of comorbid disease, unilaterality or bilaterality of the hematoma, and length of stay in the Intensive Care Unit (ICU) and/or neurosurgery clinic were recorded from the patients’ files. RESULTS: The total mortality rate was 34%. Age, etiology, GCS on admission, and laterality of the hematoma (unilateral or bilateral) affected the mortality rates (P = 0.005, P = 0.001, P = 0.001, and P = 0.001, respectively). Advanced age, low GCS on admission, and bilaterality of the hematoma were related with high mortality rates (P = 0.005, P = 0.001, and P = 0.001, respectively). The presence of comorbid disease and gender had no effect on patient survival (P = 0.299 and P = 0.861). CONCLUSION: The most important factors affecting the mortality rate were GCS on admission, etiology, age, and laterality of the hematoma in this study. Advanced age, low GCS on admission, and bilaterality of the hematoma were related with high mortality rates. Etiology had an important role in mortality rates, especially in the pedestrian injury group.
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spelling pubmed-64501302019-04-19 Risk factors associated with mortality and survival of acute subdural hematoma: A retrospective study Atalay, Tugay Ak, Hakan Gülsen, Ismail Karacabey, Sinan J Res Med Sci Original Article BACKGROUND: Acute subdural hematoma (ASDH) is mostly seen after head injury and is a major cause of morbidity and mortality. We studied the risk factors for ASDH and the effects of these factors on mortality as well as on survival with 100 cases from the rural area of Anatolia region. MATERIALS AND METHODS: One-hundred cases of the ASDH that had been treated surgically between 2011 and 2014, at three different health-care centers from the rural area of Anatolia region, were retrospectively reviewed. Demographic data of patients, etiology, Glasgow Coma Scale (GCS) on admission, survival, presence of comorbid disease, unilaterality or bilaterality of the hematoma, and length of stay in the Intensive Care Unit (ICU) and/or neurosurgery clinic were recorded from the patients’ files. RESULTS: The total mortality rate was 34%. Age, etiology, GCS on admission, and laterality of the hematoma (unilateral or bilateral) affected the mortality rates (P = 0.005, P = 0.001, P = 0.001, and P = 0.001, respectively). Advanced age, low GCS on admission, and bilaterality of the hematoma were related with high mortality rates (P = 0.005, P = 0.001, and P = 0.001, respectively). The presence of comorbid disease and gender had no effect on patient survival (P = 0.299 and P = 0.861). CONCLUSION: The most important factors affecting the mortality rate were GCS on admission, etiology, age, and laterality of the hematoma in this study. Advanced age, low GCS on admission, and bilaterality of the hematoma were related with high mortality rates. Etiology had an important role in mortality rates, especially in the pedestrian injury group. Wolters Kluwer - Medknow 2019-03-25 /pmc/articles/PMC6450130/ /pubmed/31007697 http://dx.doi.org/10.4103/jrms.JRMS_14_16 Text en Copyright: © 2019 Journal of Research in Medical Sciences http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Original Article
Atalay, Tugay
Ak, Hakan
Gülsen, Ismail
Karacabey, Sinan
Risk factors associated with mortality and survival of acute subdural hematoma: A retrospective study
title Risk factors associated with mortality and survival of acute subdural hematoma: A retrospective study
title_full Risk factors associated with mortality and survival of acute subdural hematoma: A retrospective study
title_fullStr Risk factors associated with mortality and survival of acute subdural hematoma: A retrospective study
title_full_unstemmed Risk factors associated with mortality and survival of acute subdural hematoma: A retrospective study
title_short Risk factors associated with mortality and survival of acute subdural hematoma: A retrospective study
title_sort risk factors associated with mortality and survival of acute subdural hematoma: a retrospective study
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6450130/
https://www.ncbi.nlm.nih.gov/pubmed/31007697
http://dx.doi.org/10.4103/jrms.JRMS_14_16
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