Influencing Factors on Outcome and Quality of Life after Surgical treatment of Chronic
Subdural Hematoma in Elderly

, Min-Hee Han; , Ki-Su Park; , Seong-Hyun Park, Jeong-Hyun Hwang; , Kyung-Tae Kim

Clinical Article

Journal of Korean Society of Geriatric Neurosurgery 2014;10(2):139-143.
Published online December 30, 2014.

Influencing Factors on Outcome and Quality of Life after Surgical treatment of Chronic Subdural Hematoma in Elderly

Min-Hee Han , Ki-Su Park , Seong-Hyun Park, Jeong-Hyun Hwang , Kyung-Tae Kim

Department of Neurosurgery, Kyungpook National University School of Medicine, Daegu, Korea

노인성 만성 경막하혈종 수술 후 임상 결과와 삶의 질에 미치는 영향 인자들

한민희·박기수·박성현·황정현·김경태

경북대학교 의과대학 신경외과학교실

Abstract

Objective
The purpose of this study is to assess influencing factors on the clinical outcome and quality of life after surgical treatment of chronic subdural hematoma in elderly.
Methods
A series of 50 patients aged 65 and over with chronic subdural hematoma was reviewed. Hematomas were surgically removed in all patients. We analyzed possible influencing factors on the clinical outcome and quality of life such as, age, sex, causes, recurrence, and preoperative limb weakness, underlying disease. In this paper, the surveys which are the barthel index, modified Rankin Score (mRS), and The Short Form(36) Health Survey (SF-36) are used to assess for quality of life. These surveys are conducted twice before surgery and 1 year after surgery.
Results
One year after surgery, the barthel index increased 2.78 points, mRS decreased 0.54 points, and SF-36 increased 2.48 points. In univariate analysis, the factors, which affected the barthel index, mRS, and SF-36 respectively, were age, trauma history, and weakness (p<0.05). However, the most important factors which affected the outcome and quality of life was old age in multivariate analysis (p<0.05).
Conclusion
According to our study, the most important factor which influenced the outcome and quality of life was old age, especially over 80.

Key Words: Chronic subdural hematomaㆍFactorㆍQualityㆍLife