| Comparative Study of Surgical Outcome and Prognosis on the Aged versus the Super-aged
Patients with Acute Subdural Hematoma in Moderate Traumatic Brain Injury |
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Tae-Seop Im , Jeong-Ho Lee , Sang-Jun Suh , Yoon-Soo Lee, Kee-Young Ryu , Dong-Gee Kang |
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Department of Neurosurgery, Daegu Fatima Hospital, Daegu, Korea |
| 중등도의 두부 외상에서 고령층과 초고령층 간의 급성 뇌경막하출혈에
대한 수술적 치료의 결과 및 예후 비교 |
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임태섭·이정호·서상준·이윤수·류기영·강동기 |
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대구 파티마병원 신경외과 |
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| Abstract |
Objective
The traumatic brain injury in elderly patients is going to be a global disease burden to the society with
the worldwide aging population. Thus, we retrospectively studied the surgical outcome and prognosis among the
elderly patients with acute subdural hematoma.
Methods
Thirty-six patients with acute subdural hematoma in moderate traumatic brain injury between January 2004
and December 2013 were surgically managed and assigned into two groups; Aged (A) and Super-aged (SA) group,
according to the age (patients for those aged 60 to 74 and over 75 years, respectively). The patients’ profile, the
side and thickness of hematoma and the length of midline shift on computed tomography (CT), Glasgow Coma Scale
(GCS) just before the operation, Glasgow Outcome Scale (GOS) at discharge, trauma mechanism, and antiplatelet
medication were retrospectively reviewed.
Results
The number of patients in the each group was 22 and 14 respectively. There were no significant differences
in sex, mean GCS, thickness and site of hematoma and the length of midline shift on CT between two groups.
9 patients had poor outcome and 13 had good outcome in the A group, and 9 had poor outcome and 5 had good
outcome in the SA group, and the differences between two groups were not statistically significant (p-value=0.171).
Conclusion
There was no significant difference of GOS between A and SA group. Therefore, neurosurgeons must
have active attitude and rapid decision for surgical management of super-aged patients with acute subdural hematoma
in moderate traumatic brain injury. |
| Key Words:
Acute subdural hematomaㆍGlasgow Coma ScaleㆍGlasgow Outcome ScaleㆍSuper-ageㆍTraumatic brain injury |
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