Trauma Mechanisms and Surgical Outcomes in the Elderly Patient with Chronic Subdural Hematoma

Jimmy Sundblom1, Elisabeth Sandberg1,2, Elisabeth Ronne-Engström1

  • 1Department of Medical Sciences, Section of Neurosurgery, Uppsala University Hospital, Uppsala, Sweden.

Insights

Surgery for chronic subdural hematoma in patients over 70 shows good outcomes, with 78.1% improved neurological function. Recurrence rates are similar to the general population, but alcohol use increases complication risks.

Area of Science:

  • Neurosurgery
  • Geriatrics
  • Trauma Care

Background:

  • Chronic subdural hematoma (CSH) is a common neurosurgical condition in elderly individuals.
  • This study examines surgical outcomes for CSH in patients aged 70 and above.

Purpose of the Study:

  • To evaluate the outcomes of surgical intervention for chronic subdural hematoma in patients over 70 years old.
  • To identify risk factors for complications and recurrence in this demographic.

Main Methods:

  • Retrospective analysis of 511 patients (70-97 years) treated at a single neurosurgical center from 2010-2014.
  • Assessment of comorbidities, lifestyle factors, and surgical outcomes including recurrence, mortality, and complications.

Main Results:

  • Neurological function improved in 78.1% of patients post-surgery.
  • Mortality rate was 3.1%, and recurrence occurred in 9.6% of patients.
  • Excessive alcohol use was associated with increased postoperative complications (p=0.02).

Conclusions:

  • Fall injuries are the primary cause of CSH in the elderly.
  • Recurrence rates in elderly patients are comparable to the general population.
  • Excessive alcohol consumption is a significant risk factor for postoperative complications in elderly CSH patients.
Abstract