Journal of Korean Society of Geriatric Neurosurgery 2014;10(2):121-127.
Published online December 30, 2014.
Comparative Study of Surgical Outcome and Prognosis on the Aged versus the Super-aged Patients with Acute Subdural Hematoma in Moderate Traumatic Brain Injury
Tae-Seop Im , Jeong-Ho Lee , Sang-Jun Suh , Yoon-Soo Lee, Kee-Young Ryu , Dong-Gee Kang
Department of Neurosurgery, Daegu Fatima Hospital, Daegu, Korea
중등도의 두부 외상에서 고령층과 초고령층 간의 급성 뇌경막하출혈에 대한 수술적 치료의 결과 및 예후 비교
임태섭·이정호·서상준·이윤수·류기영·강동기
대구 파티마병원 신경외과
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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