The effect of the time interval between trauma and surgery on the prognosis of patients with acute subdural hemorrhage

Abstract

Acute subdural hematoma is one of the most common causes of death and severe disability caused by traumatic brain injuries, and these disabilities have profound effects on the patient's social, economic and family relationships. The time from trauma to surgery is important in the prognosis of patients with acute subdural bleeding. Materials and methods: This study was conducted in a two-year period (1399-1400) in Tabriz Imam Reza Hospital. Patients with acute subdural hematoma were identified and included in the study if they met the inclusion and exclusion criteria. In all patients, information related to age, gender, Glasgow Coma Scale (GCS) before and after surgery, mortality rate, Glasgow Outcome Scale (GOS), time interval from admission to surgery was recorded. SPSS version 20 software and bivariate logistic regression analysis were used in this research. Findings: 38 patients were selected from among 1000 cases and included in the study. There were 33 men and 5 women, the average age of the patients was 42.52 years. And the main cause of concussions was reported to be a car accident. By decreasing the time interval until the surgery, the GCS score increases and the recovery rate also increases (P<0.001). Also, the reported GOS score was reported favorable in people who had less time before surgery, and it was also reported in this study that after surgery, the reported GOS score is more favorable as the age of the patients decreases. Also, in this study, the DRS score decreases with a decrease in the time interval between admission and surgery.