Traumatic brain injury (TBI) is one of the most severe and common forms of damage to the central nervous system. At the same time, traumatic subdural hemorrhage refers to severe TBI leading to severe disability and death. Aim of the research. To study the epidemiological features of mortality from traumatic subdural hemorrhage in Kazakhstan. Material and Methods. The study was retrospective, 2009-2018, the material was data on cases of death from traumatic subdural hemorrhage in the country, descriptive and analytical methods of epidemiology were used. Results and discussion. It is established that the average age of those who died from traumatic subdural hemorrhage in men (44.5±0.78 years) was younger than in women patients (47.6±1.17 years). The crude and standardized mortality rates for men (1.33±0.070/0000 and 1.39±0.070/0000, respectively) were higher than for women (0.45±0.040/0000 and 0.42±0.040/0000, respectively). Age indicators had a unimodal increase with a peak of mortality in the group of 70 years and older in both men (2.8±0.38) and women (1.05±0.14). Trends in age-related indicators in men and women tended to increase, with the most pronounced growth rates of the equalized indicators being at the age of 70 years and older in men (Tgr=+7.1%), and in women (Tgr=+9.2%). Conclusions. The analysis of mortality from traumatic subdural hemorrhage indicates a gender difference and an increase in mortality in all the studied population groups. The obtained data are recommended to be used for monitoring and evaluation of diagnostic and therapeutic measures in this pathology. Keywords: traumatic subdural hemorrhage, mortality, Kazakhstan
BACKGROUND: The preferred treatment method for acute subdural hematoma (aSDH) is surgical intervention.
AIM: We aimed to show that, regardless of the good results of surgical treatment, conventional delayed treatment might be very useful in some situations and might lead to chronicity of hematoma as well as reduction of surgical intervention scope and reduce risk of anesthesia. It might also give rise to spontaneous resorption of hematoma.
METHODS: In the period March 1, 2013–March 1, 2020, we retrospectively examined 215 aSDH patients. The basic result of the outcome analysis was evaluated on the basis of the Glasgow Outcome Scale (GOS) at discharge after 3-month and 6-month follow-up.
RESULTS: A total of 215 patients with aSDH and minor or moderate brain injury were examined, while applying conventional delayed treatment, the following results were obtained: large craniotomy was carried out in 123 patients (57.2%) on the 2nd–3rd day of observation, small craniotomy with drainage was applied in 29 patients (13.5%) and spontaneous resorption of subdural hematoma occurred in 63 patients (29.3%). The median score as per the Glasgow Coma Scale at admission to the hospital was 11.4.
CONCLUSION: This study showed that conventional delayed treatment applied in patients with aSDH and minor or moderate craniocerebral injury might lead to chronicity and resorption of aSDH. The outcomes as per the GOS scale also showed good data three and 6 months after hospitalization.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.