Your browser doesn't support javascript.
loading
Long-term postoperative prognosis and associated risk factors of chronic subdural hematoma in the elderly.
Kinoshita, Shohei; Ohkuma, Hiroki; Fujiwara, Nozomi; Katayama, Kosuke; Naraoka, Masato; Shimamura, Norihito; Tabata, Hidefumi; Takemura, Atsuhito; Hasegawa, Seiko; Saito, Atsushi.
Afiliación
  • Kinoshita S; Department of Neurosurgery, Hirosaki University Hospital, Hirosaki, Aomori, Japan.
  • Ohkuma H; Department of Neurosurgery, NHO, Hirosaki General Medical Center, Hirosaki, Aomori, Japan. Electronic address: ohkuma@hirosaki-u.ac.jp.
  • Fujiwara N; Department of Neurosurgery, Hirosaki University Hospital, Hirosaki, Aomori, Japan.
  • Katayama K; Department of Neurosurgery, Kuroishi General Hospital, Kuroishi, Aomori, Japan.
  • Naraoka M; Department of Advanced Emergency And Disaster Medical Center, Hirosaki University Hospital, Hirosaki, Aomori, Japan.
  • Shimamura N; Department of Neurosurgery, NHO, Hirosaki General Medical Center, Hirosaki, Aomori, Japan.
  • Tabata H; Department of Neurosurgery, Aomori City Hospital, Aomori, Aomori, Japan.
  • Takemura A; Department of Neurosurgery, Southern Tohoku Hospital, Iwanuma, Miyagi, Japan.
  • Hasegawa S; Department of Advanced Emergency And Disaster Medical Center, Hirosaki University Hospital, Hirosaki, Aomori, Japan.
  • Saito A; Department of Neurosurgery, Hirosaki University Hospital, Hirosaki, Aomori, Japan.
Clin Neurol Neurosurg ; 243: 108186, 2024 Aug.
Article en En | MEDLINE | ID: mdl-38936175
ABSTRACT
Surgical treatment for chronic subdural hematoma（CSDH）has contributed to good outcome. However, several recent studies have revealed that surgical outcomes for elderly patients were not decisively good. In this study, prognosis of CSDH patients in elderly were analyzed. This study included 232 CSDH patients who were treated in our department and 2 affiliated hospitals, and poor prognosis was defined as aggravation of modified Rankin scale (mRS) at examination comparing with that at discharge, or mRS 3 and higher at examination. We collected data from medical records and questionnaires on the following clinical characteristics of patients age, sex, findings at admission, medication of antiplatelets and anticoagulants, radiological findings on computed tomography, recurrence, place of discharge, perioperative systemic complications, and mRS at discharge and at examination. The cut-off value of age for poor prognosis of all CSDH patients was 74 years old in this study. In multivariate analysis of all cases, age was prognostic factor for poor

outcome:

75 years old or higher（p=0.0002）. In this group, mRS at discharge(p=0.0184) and postoperative medical diseases(p<0.0001) were the risk factors of poor prognosis. In this present study, high age and activities of daily life（ADL） at discharge were significant prognostic factors for poor outcome of CSDH. Improvement of ADL at discharge with care for postoperative systemic complications and careful rehabilitation can contribute to good prognosis for CSDH in elderly patients.
Asunto(s)
Palabras clave
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Hematoma Subdural Crónico Límite: Aged / Aged80 / Female / Humans / Male / Middle aged Idioma: En Revista: Clin Neurol Neurosurg Año: 2024 Tipo del documento: Article Pais de publicación: Países Bajos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Hematoma Subdural Crónico Límite: Aged / Aged80 / Female / Humans / Male / Middle aged Idioma: En Revista: Clin Neurol Neurosurg Año: 2024 Tipo del documento: Article Pais de publicación: Países Bajos