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Updated: Apr 25, 2026
Minimally Invasive Endoscopic Intracerebral Hemorrhage Evacuation
Published on: October 15, 2021
[Analysis of prognostic factors for patients with traumatic acute subdural hematomas treated by surgery]
Chaoqiang Song1, Xiaohui Ren1, Baogang Zhao1
1Department of Neurosurgery, Daxing People's Hospital, Beijing 102600, China; Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University Beijing 100050, China.
Objective:
To analyze the factors correlated with the surgical prognosis of patients with traumatic acute subdural hematoma (ASDH).
Methods:
A total of 117 surgical patients for traumatic ASDH between January 2007 and August 2012 were retrospectively reviewed. The clinical factors correlated with prognosis were statistically analyzed.Glasgow outcome score (GOS) was used for prognostic evaluations and favorable prognosis was defined as 4-5 points.
Results:
The percentage of patients with favorable prognosis was 43.59% and the mortality 39.32%. The factors correlated with favorable prognosis included age <40 years, pre-operative GCS >8, no pre-operative herniation, duration between injury and surgical depression ≤ 4 h, without injury of drainage vein, mild brain edema and good brain palpation; the factors correlated with mortality included age >60 years, pre-operative GCS ≤ 8, pre-operative herniation, duration between injury and surgical depression >4 h, injury of drainage vein, serious brain edema and weak brain palpation Logistic regression confirmed preoperative GCS >8, no preoperative herniation, injury of drainage vein and postoperative good brain palpation were independent factors associated with favorable prognosis.
Conclusion:
Patients with age <40 years, preoperative GCS>8, no preoperative herniation, injury of drainage vein and postoperative good brain palpation tend to have favorable prognoses.
