Outcomes following surgery in subgroups of comatose and very elderly patients with chronic subdural hematoma

The British Neurosurgical Trainee Research Collaborative (BNTRC)

Research output: Contribution to journalArticlepeer-review

Abstract

Increasing age and lower pre-operative Glasgow coma score (GCS) are associated with worse outcome after surgery for chronic subdural haematoma (CSDH). Only few studies have quantified outcomes specific to the very elderly or comatose patients. We aim to examine surgical outcomes in these patient groups. We analysed data from a prospective multicentre cohort study, assessing the risk of recurrence, death, and unfavourable functional outcome of very elderly (90years) patients and comatose (pre-operative GCS 8) patients following surgical treatment of CSDH. Seven hundred eighty-five patients were included in the study. Thirty-two (4.1%) patients had pre-operative GCS 8 and 70 (8.9%) patients were aged 90years. A higher proportion of comatose patients had an unfavourable functional outcome (38.7 vs 21.7%; p=0.03), although similar proportion of comatose (64.5%) and non-comatose patients (61.8%) functionally improved after surgery (p=0.96). Compared to patients aged

Original languageEnglish
Pages (from-to)427-431
Number of pages5
JournalNeurosurgical Review
Volume42
Issue number2
Early online date21 Apr 2018
DOIs
Publication statusPublished - 1 Jun 2019

Keywords

  • Chronic subdural hematoma
  • Very elderly
  • Comatose
  • Outcome
  • Surgery
  • DECOMPRESSIVE CRANIECTOMY
  • RECURRENCE
  • MANAGEMENT
  • RISK

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