Chronic subdural hematoma in elderly Taiwan patients

A retrospective analysis of 342 surgical cases

Sheng Yu Cheng, Cheng Kuei Chang, Shiu Jau Chen, Jui Feng Lin, Cheng Chia Tsai

研究成果: 雜誌貢獻文章

2 引文 (Scopus)

摘要

Background Chronic subdural hematoma (CSDH) is common clinical entities in neurosurgical practice. Although several studies have focused on reporting surgical treatment of CSDH in mixed patient populations, there are few data concerning the risk factors, complications, and recurrence in the elderly. This study intended to delineate the perioperative risks, surgical outcomes, and recurrence in elderly patients with CSDH. Methods A retrospective review of 342 age ≥65 years patients with surgically treated CSDH at our institution from 2001 to 2011 was conducted. These patients were divided into three groups according to age (Group A: 65-74 years, Group B: 75-84 years, and Group C: 85-97 years). The demographics, perioperative risk, surgical results, complications, and recurrence were analyzed. The surgical procedure included burr-hole craniostomy with a subdural drainage in each patient. The outcomes were evaluated with initial Glasgow Coma Scale (GCS) and Glasgow Outcome Scale (GOS) at discharge. Results The mean age was 77.2 ± 11.4 years, (M:F ratio = 2.2:1). The postoperative neurological status was improved in all subgroups. The overall outcome was favorable in 83.3%, with median GCS was 15, and GOS, 1-2 at discharge recovery. The patients with lower initial GCS and higher GOS at discharge had a higher recurrence rate. The complication and mortality rates did not differ significantly within the age groups. Conclusion An observed correlation is apparent between preoperative status and outcome. Burr-hole craniostomy should be the method of choice for surgical treatment of CSDH.
原文英語
頁(從 - 到)37-41
頁數5
期刊International Journal of Gerontology
8
發行號1
DOIs
出版狀態已發佈 - 2014

指紋

Hematoma, Subdural, Chronic
Taiwan
Glasgow Outcome Scale
Glasgow Coma Scale
Recurrence
Age Groups
Drainage
Demography
Mortality
Therapeutics
Population

ASJC Scopus subject areas

  • Geriatrics and Gerontology

引用此文

Chronic subdural hematoma in elderly Taiwan patients : A retrospective analysis of 342 surgical cases. / Cheng, Sheng Yu; Chang, Cheng Kuei; Chen, Shiu Jau; Lin, Jui Feng; Tsai, Cheng Chia.

於: International Journal of Gerontology, 卷 8, 編號 1, 2014, p. 37-41.

研究成果: 雜誌貢獻文章

Cheng, Sheng Yu ; Chang, Cheng Kuei ; Chen, Shiu Jau ; Lin, Jui Feng ; Tsai, Cheng Chia. / Chronic subdural hematoma in elderly Taiwan patients : A retrospective analysis of 342 surgical cases. 於: International Journal of Gerontology. 2014 ; 卷 8, 編號 1. 頁 37-41.
@article{2796abfbff97415cb2a87cf249ea4c41,
title = "Chronic subdural hematoma in elderly Taiwan patients: A retrospective analysis of 342 surgical cases",
abstract = "Background Chronic subdural hematoma (CSDH) is common clinical entities in neurosurgical practice. Although several studies have focused on reporting surgical treatment of CSDH in mixed patient populations, there are few data concerning the risk factors, complications, and recurrence in the elderly. This study intended to delineate the perioperative risks, surgical outcomes, and recurrence in elderly patients with CSDH. Methods A retrospective review of 342 age ≥65 years patients with surgically treated CSDH at our institution from 2001 to 2011 was conducted. These patients were divided into three groups according to age (Group A: 65-74 years, Group B: 75-84 years, and Group C: 85-97 years). The demographics, perioperative risk, surgical results, complications, and recurrence were analyzed. The surgical procedure included burr-hole craniostomy with a subdural drainage in each patient. The outcomes were evaluated with initial Glasgow Coma Scale (GCS) and Glasgow Outcome Scale (GOS) at discharge. Results The mean age was 77.2 ± 11.4 years, (M:F ratio = 2.2:1). The postoperative neurological status was improved in all subgroups. The overall outcome was favorable in 83.3{\%}, with median GCS was 15, and GOS, 1-2 at discharge recovery. The patients with lower initial GCS and higher GOS at discharge had a higher recurrence rate. The complication and mortality rates did not differ significantly within the age groups. Conclusion An observed correlation is apparent between preoperative status and outcome. Burr-hole craniostomy should be the method of choice for surgical treatment of CSDH.",
keywords = "burr-hole craniostomy chronic, complications, elderly, recurrence, subdural hematoma",
author = "Cheng, {Sheng Yu} and Chang, {Cheng Kuei} and Chen, {Shiu Jau} and Lin, {Jui Feng} and Tsai, {Cheng Chia}",
year = "2014",
doi = "10.1016/j.ijge.2014.01.001",
language = "English",
volume = "8",
pages = "37--41",
journal = "International Journal of Gerontology",
issn = "1873-9598",
publisher = "Elsevier Taiwan LLC",
number = "1",

}

TY - JOUR

T1 - Chronic subdural hematoma in elderly Taiwan patients

T2 - A retrospective analysis of 342 surgical cases

AU - Cheng, Sheng Yu

AU - Chang, Cheng Kuei

AU - Chen, Shiu Jau

AU - Lin, Jui Feng

AU - Tsai, Cheng Chia

PY - 2014

Y1 - 2014

N2 - Background Chronic subdural hematoma (CSDH) is common clinical entities in neurosurgical practice. Although several studies have focused on reporting surgical treatment of CSDH in mixed patient populations, there are few data concerning the risk factors, complications, and recurrence in the elderly. This study intended to delineate the perioperative risks, surgical outcomes, and recurrence in elderly patients with CSDH. Methods A retrospective review of 342 age ≥65 years patients with surgically treated CSDH at our institution from 2001 to 2011 was conducted. These patients were divided into three groups according to age (Group A: 65-74 years, Group B: 75-84 years, and Group C: 85-97 years). The demographics, perioperative risk, surgical results, complications, and recurrence were analyzed. The surgical procedure included burr-hole craniostomy with a subdural drainage in each patient. The outcomes were evaluated with initial Glasgow Coma Scale (GCS) and Glasgow Outcome Scale (GOS) at discharge. Results The mean age was 77.2 ± 11.4 years, (M:F ratio = 2.2:1). The postoperative neurological status was improved in all subgroups. The overall outcome was favorable in 83.3%, with median GCS was 15, and GOS, 1-2 at discharge recovery. The patients with lower initial GCS and higher GOS at discharge had a higher recurrence rate. The complication and mortality rates did not differ significantly within the age groups. Conclusion An observed correlation is apparent between preoperative status and outcome. Burr-hole craniostomy should be the method of choice for surgical treatment of CSDH.

AB - Background Chronic subdural hematoma (CSDH) is common clinical entities in neurosurgical practice. Although several studies have focused on reporting surgical treatment of CSDH in mixed patient populations, there are few data concerning the risk factors, complications, and recurrence in the elderly. This study intended to delineate the perioperative risks, surgical outcomes, and recurrence in elderly patients with CSDH. Methods A retrospective review of 342 age ≥65 years patients with surgically treated CSDH at our institution from 2001 to 2011 was conducted. These patients were divided into three groups according to age (Group A: 65-74 years, Group B: 75-84 years, and Group C: 85-97 years). The demographics, perioperative risk, surgical results, complications, and recurrence were analyzed. The surgical procedure included burr-hole craniostomy with a subdural drainage in each patient. The outcomes were evaluated with initial Glasgow Coma Scale (GCS) and Glasgow Outcome Scale (GOS) at discharge. Results The mean age was 77.2 ± 11.4 years, (M:F ratio = 2.2:1). The postoperative neurological status was improved in all subgroups. The overall outcome was favorable in 83.3%, with median GCS was 15, and GOS, 1-2 at discharge recovery. The patients with lower initial GCS and higher GOS at discharge had a higher recurrence rate. The complication and mortality rates did not differ significantly within the age groups. Conclusion An observed correlation is apparent between preoperative status and outcome. Burr-hole craniostomy should be the method of choice for surgical treatment of CSDH.

KW - burr-hole craniostomy chronic

KW - complications

KW - elderly

KW - recurrence

KW - subdural hematoma

UR - http://www.scopus.com/inward/record.url?scp=84898843195&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84898843195&partnerID=8YFLogxK

U2 - 10.1016/j.ijge.2014.01.001

DO - 10.1016/j.ijge.2014.01.001

M3 - Article

VL - 8

SP - 37

EP - 41

JO - International Journal of Gerontology

JF - International Journal of Gerontology

SN - 1873-9598

IS - 1

ER -