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Demographic Profile and Outcome in Surgically Managed Patients with Chronic Subdural Haematoma: A 9-Year
O E Idowu1,2, J M Vitowanu1, S O Oyeleke3
1Division of Neurological Surgery, Department of Surgery, Lagos State University Teaching Hospital (LASUTH), Ikeja, Lagos State, Nigeria.
Insights
This study on chronic subdural hematoma (CSDH) found that while older age is linked to higher mortality, recurrence is not associated with age, gender, or anesthesia type. CSDH affects more men than women.
Area of Science:
- Neurosurgery
- Geriatric Medicine
- Epidemiology
Background:
- Chronic subdural hematoma (CSDH) is a serious condition common in the elderly.
- Its inflammatory and angiogenic nature necessitates further investigation due to increasing life expectancy.
- Potential gender, racial, and ethnic variations in CSDH prevalence warrant attention.
Purpose of the Study:
- To investigate the epidemiology of CSDH.
- To analyze the impact of patient demographics, surgical procedures, and anesthesia on outcomes.
- To understand factors influencing CSDH recurrence and mortality.
Main Methods:
- Retrospective analysis of 264 CSDH patients treated with single burr-hole surgery over 9 years.
- Data collected included biodata, surgery type, anesthesia, and discharge outcome.
- Statistical analysis employed chi-square, independent t-test, and multivariate binary regression (p < 0.05 significance).
Main Results:
- The study included 264 patients with a mean age of 61.4 years; a 2:1 male-to-female ratio was observed.
- Peak incidence occurred in the seventh decade of life.
- Recurrence and mortality rates were 2.7% and 6.8%, respectively, with age significantly associated with mortality.
Conclusions:
- CSDH demonstrates a male predominance.
- Advanced age is a significant risk factor for mortality in CSDH patients.
- Neither patient age, gender, nor anesthesia type influenced CSDH recurrence.
Background:
Chronic subdural hematoma (CSDH) is achronic inflammatory and angiogenic condition that is potentially fatal and common among the elderly with a probability of gender, racial and ethnic differences. As our population ages due to increase in our life expectancy, a closer look at this disease in our environment is therefore justified.
Objectives:
Our objective is to evaluate the epidemiology, relationship of demography, procedure type and mode of anaesthesia on outcome in the patients.
Methods:
Retrospective analyses of patients with CSDHs treated by single burrhole, over a 9-year period was performed. Patients' biodata, type of surgery, mode of anaesthesia and discharge outcome were noted. Data were analysed with chisquare, independent t test and multivariate binary regression. Values of p < 0.05 were considered statistical significance.
Results:
Two hundred and sixty-four patients were managed during the study period. The male-to-female ratio was 2:1 with mean age of 61.4 years. The peak age range was in the seventh decade. Recurrence and mortality rates were 2.7% and 6.8% respectively. Age was significantly associated with mortality.
Conclusion:
The study showed a male preponderance. Age was significantly associated with mortality. Recurrence of CSDH was not related to patients' age, gender or mode of anaesthesia.
