Analyses of clinical prognostic factors in operated traumatic acute subdural hematomas.
BACKGROUND
Traumatic acute subdural hematoma is the most lethal of all head injuries.


METHODS
In this study, 113 patients with the diagnosis of posttraumatic acute subdural hematoma, who were operated between 1998 and 2006, were reviewed retrospectively. Statistical analysis was performed to detect any effects of the variables of age, Glasgow Coma Scale (GCS) score on admission, time interval between the trauma and operation, and abnormality in the pupil reaction on the disease mortality and morbidity.


RESULTS
Results obtained in the study are discussed and compared with the related current literature. The overall mortality in 113 patients was 56.6%.


CONCLUSIONS
According to the results, the most important determinants of the prognosis are GCS score of the patient on admission, abnormality in pupil reaction, timing of the operation, and the patient's age.
Departments of Neurosurgery, Istanbul University Istanbul Faculty of Medicine, Istanbul, Turkey.
Aykut
A
Karasu
Erdinç
E
Civelek
Yavuz
Y
Aras
Pulat Akin
PA
Sabanci
Tufan
T
Cansever
Hakan
H
Yanar
Günseli
G
Sağlam
Murat
M
Imer
Kemal Tanju
KT
Hepgül
Korhan
K
Taviloğlu
Ali
A
Canbolat
D000058:Accidental Falls; D000063:Accidents, Traffic; D000208:Acute Disease; D000328:Adult; D005260:Female; D015600:Glasgow Coma Scale; D006408:Hematoma, Subdural / Q000209:etiology / Q000401:mortality / Q000601:surgery*; D006801:Humans; D008297:Male; D011379:Prognosis; D011681:Pupil Disorders / Q000175:diagnosis; D012189:Retrospective Studies; D016896:Treatment Outcome; D014754:Violence; D014948:Wounds, Gunshot