title: Risk factors for chronic subdural hematoma after a minor head injury in the elderly: a population-based study.
abstract: Chronic subdural hematoma (CSDH) is one of the major comorbidities in elderly resulting in disability and death. Early recognition of CSDH is important for early management. However, manifestations of CSDH are nonspecific and subtle. Therefore, identification of risk factors of CSDH can offer clinical follow-up strategies for patients after episodes of head injury. The purpose of the study aimed at identifying risk factors of CSDH of Taiwanese. Analysis of data from the National Health Insurance provides important information on predictive factors influencing the early diagnosis of CSDH in elderly patients following minor head injuries. The current study is the first nationwide population-based study in Taiwan, showing that old age (≥75 years), male gender, and coexisting hydrocephalus are significantly predictive factors, irrespective to their medical comorbidities.
authors.affiliation: Department of Neurosurgery, Taipei City Hospital, Renai Branch, No. 4, Section 4, Renai Road, Taipei 106, Taiwan ; Graduate Institute of Medical Sciences, College of Medicine, Taipei Medical University, No. 250, Wuxing Street, Taipei 110, Taiwan.
authors.forename: Jen-Ho
authors.identifier: 0000-0001-8233-2911
authors.initials: JH
authors.lastname: Tseng
authors.affiliation: Department of Neurosurgery, Taipei City Hospital, Renai Branch, No. 4, Section 4, Renai Road, Taipei 106, Taiwan.
authors.forename: Ming-Yuan
authors.initials: MY
authors.lastname: Tseng
authors.affiliation: Department of Neurosurgery, Taipei City Hospital, Renai Branch, No. 4, Section 4, Renai Road, Taipei 106, Taiwan.
authors.forename: Ann-Jeng
authors.initials: AJ
authors.lastname: Liu
authors.affiliation: Department of Neurosurgery, Taipei City Hospital, Renai Branch, No. 4, Section 4, Renai Road, Taipei 106, Taiwan.
authors.forename: Wen-Hsiung
authors.initials: WH
authors.lastname: Lin
authors.affiliation: Department of Education and Research, Taipei City Hospital, Renai Branch, No. 4, Section 4, Renai Road, Taipei 106, Taiwan ; Institute of Public Health and Department of Public Health, National Yang-Ming University, No. 155, Section 2, Linong Street, Taipei 112, Taiwan.
authors.forename: Hsiao-Yun
authors.initials: HY
authors.lastname: Hu
authors.affiliation: Department of Neurosurgery, Taipei City Hospital, Renai Branch, No. 4, Section 4, Renai Road, Taipei 106, Taiwan ; Institute of Traditional Medicine, National Yang-Ming University, No. 155, Section 2, Linong Street, Taipei 112, Taiwan.
authors.forename: Sheng-Huang
authors.initials: SH
authors.lastname: Hsiao
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D006259:Craniocerebral Trauma / Q000150:complications / Q000453:epidemiology* / Q000473:pathology*; D020200:Hematoma, Subdural, Chronic / Q000150:complications / Q000453:epidemiology* / Q000473:pathology*; D006801:Humans; D008297:Male; D018570:Risk Assessment; D012307:Risk Factors; D012737:Sex Factors