Functional Outcome of the Patients with Acute Subdural Hematoma Treated Surgically within 4 hours of Injury

Abstract

Introduction: Traumatic Brain Injury (TBI) is a common cause of morbidity and mortality worldwide. Post traumatic acute subdural hematoma, one of the most difficult tasks faced by neurosurgeons. Reliable prognostic factors for acute subdural hematoma to improve the surgical results in these patients are important. The magnitude of this study outcome of early intervention for removal of acute sub dural hematoma, may decrease the morbidity and mortality. Objective: Functional outcome of the patients with acute subdural hematoma treated surgically within 4 hrs. of injury. Setting: The study was conducted in Department of Neurosurgery, Liaquat National Hospital Karachi. Study design: Case series. Subject and Methods: A total of 100 patients having acute subdural hematoma diagnosed on CT scan brain who underwent surgical intervention were included in this study. Detailed history, clinical examination and GCS assessment were performed. Surgery was performed by consultant neurosurgeon. Patients were followed after 3 months of surgery and assessed on GOS. A score of 4 and above was taken as functional recovery. Results: The average age of the patients was 34.74±13.92 years. There were 84% male and 16% female. Mortality was observed in 47% cases and functional recovery was seen in 39% cases. Functional recovery was significantly high in below 40 years age (p=0.0005) and in female (0.004). Conclusion: The magnitude of outcome of early intervention for removal of acute subdural hematoma found to be satisfactory and should be followed, which may decrease the morbidity and mortality. Keywords: Traumatic Brain Injury; Acute subdural hematoma; Mortality