| Factors of Progressive Intracranial Hemorrhage of Acute Head Trauma in the Elderly |
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Sang-Shin Kim , Jung-Yul Park , Dong-Hyuk Park , Shin-Hyuk Kang , Yong-Gu Chung |
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Department of Neurosurgery, Korea University College of Medicine, Seoul, Korea |
| 급성 노인 두부외상 환자의 두개강내 지속적 출혈의 위험인자 |
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김상신ㆍ박정율ㆍ박동혁ㆍ강신혁ㆍ정용구 |
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고려대학교 의과대학 신경외과학교실 |
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| Abstract |
Objective
To analyze the risk factors and prognosis of progressive hemorrhage of intracranial hemorrhage from head trauma in the elderly
patients aged over 65 years.
Methods
Sixty-six patients with Intracranial hemorrhage following acute head trauma, whose diagnosis was made upon follow-up CT scan between
January 2007 and December 2011 were enrolled in this study. Based on the presence of progressive hemorrhage, we divided into 2 groups
and compared the results with multiple factors (sex, age, initial GCS, hemorrhage pattern in CT, presence of skull fracture, PT, PTT, platelet
test results, past history, blood pressure control after hospitalization). Finally, the factors which could influence the occurrence of progressive
hemorrhage were analyzed.
Results
Forty-six percent of the consecutive patients showed progressive hemorrhage. Factors including age, initial GCS, presence of skull
fracture, and blood pressure control after admission appeared to be associated with the intracranial hemorrhage progression. Factors such as
gender, blood test results and past medical history did not show any statistical significance.
Conclusion
In this study, those who were younger, who had a higher GCS score at hospitalization, accompanying with skull fracture, poor
blood pressure control after hospitalization showed a higher risk of progressive intracranial hemorrhage. Thus, patients with these factors may require
rapid diagnosis by follow-up CT in order to minimize secondary brain damage |
| Key Words:
Progressive intracerebral hemorrhage, Acute head trauma |
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