Turkish Neurosurgery
Analysis of Traumatic Acute Subdural Hematomas: Outcomes and Predictive Factors In a Single Center Experience
Fatih Alagoz1, Ali Erdem Yildirim1, Mert Sahinoglu1, Murat Korkmaz2, Mehmet Secer3, Haydar Celik4, Cihat Yel5, Yahya Guvenc6, Ozhan Merzuk Uckun1, Firat Narin7, Ergün Daglioglu1, Ahmet Deniz Belen1
1Ankara Numune Research and Education Hospital, Neurosurgery, Ankara,
2Kutahya Evliya Celebi Education and Research Hospital, Neurosurgery, ANKARA,
3Deva PrivateHospital, Neurosurgery, ANKARA,
4Ankara Education and Research Hospital, Nuorosurgery, ANKARA,
5Ankara Numune Education and Research Hospital, Emergency, ANKARA,
6Sincan State Hospital, Neurosurgery, ANKARA,
7Memorial Private Hospital , Neurosurgery, ANKARA,
DOI: 10.5137/1019-5149.JTN.15177-15.2

Aim:In this study we examined the patients with traumatic acute subdural hematoma (ASDH) in an attempt to determine the factors affecting the GCS, amount of blood loss and mortality.Material and Methods:This study was retrospectively performed on 99 patients who were operated for traumatic ASDH.Age, sex, mechanism of trauma, the time in hours from the trauma onset to emergency department admission, additional pathologies, ASDH size, and GCS at the time of admission and at discharge were examined. Results:ASDH most commonly developed due to isolated head trauma and the most common additional pathology was epidural hematoma. GCS was inversely proportional to the size of bleeding and proportional to the time of admission (p<0.05). While the mortality rate was high in vehicle traffic accidents, it was lower in the patients with isolated head trauma (p<0.05). The mortality rate was higher in the patients with additional pathologies (p<0.05). Patients who died were older, had a more extensive ASDH, presented earlier, and had a lower GCS (p<0.05). Conclusion:ASDH is a clinical condition with highermortality. GCS and the size of the ASDH are important predictors of mortality. Age, additional trauma, and time of hospital admission are the factors determining the mortality

Corresponding author : Ali Erdem Yildirim