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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...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer - Medknow
2019
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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. |
format | Online Article Text |
id | pubmed-6450130 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Wolters Kluwer - Medknow |
record_format | MEDLINE/PubMed |
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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