Outcome predictors in postoperative patients with traumatic acute subdural hematoma

  • Luis Rodolfo Ramírez-Barrios
  • Ángel Raymundo Martínez-Ponce de León
  • Samuel Pérez-Cárdenas
  • Carlos Francisco Gutiérrez-Partida
  • Victoria Guevara-Soria
Keywords: traumatic brain injury, subdural hematoma, craniotomy, predict.

Abstract

Objective: to identify factors that predicts post-surgery recovery of craniectomy with acute subdural hematoma patient. Material and methods: we included 12 patients diagnosed with acute subdural hematoma; data such as the patient’s agein years, sex, pupil size, level of consciousness, hematoma size in milliliters and the time it took toun dergo surgery were considered. Measures were used of central tendency, frequencies, percentages and the Waldstatistic logistic regression model. Results: 33% of patients studied achieved afavorable recovery after craniectomy. The factors of age, sex, pupil size, the waiting time for performing the craniectomy, the size of the hematoma and Glasgow Coma Scaleare not consideredas predictors ofrecovery post-surgery for craniectomy patients with acute subdural hematoma. Conclusions: 33% of the studied population hada favorable recovery after being surgic ally intervened. Further more there are no factors to predict recovery in patients following subdural hematoma. For future studies other variables such as the mechanismo finjury, subsequent events following hematoma and toin crease the study population as well as, should be considered as for now only limited data from patients whounder went surgery within the first quarter was obtained.
Published
2015-03-01
Section
Original article