@article{ref1,
title="Acute traumatic subdural hematoma: Current mortality and functional outcomes in adult patients at a Level I trauma center",
journal="Journal of trauma and acute care surgery",
year="2012",
author="Ryan, Christina G. and Thompson, Rachel E. and Temkin, Nancy R. and Crane, Paul K. and Ellenbogen, Richard G. and Elmore, Joann G.",
volume="73",
number="5",
pages="1348-1354",
abstract="BACKGROUND: Existing data on outcomes following subdural hematoma have provided limited information on medical complications and functional outcomes. Mortality rates previously reported range from 22% to 66%. METHODS: This is a retrospective cohort study of prospectively collected data from a trauma registry in Washington State from 2005 through 2008. Patients were categorized by surgical evacuation status with the hypothesis that those undergoing evacuation represented a more severe injury. RESULTS: The 1,427 patients included in the study had a mean age of 58 years, and most of them were male (63%). Glasgow Coma Scale (GCS) score on presentation was greater than 12 in 58%; the average Injury Severity Score (ISS) was 27.5. Mean length of stay was 9.6 days (range, 1-110), with 40% spending 2 or more days in the intensive care unit. Twenty-eight percent experienced medical complications. At discharge, 94% had GCS score of 13 or greater. Independence with expression, feeding, and locomotion at discharge was noted for 92%, 81%, and 43%, respectively. Inpatient mortality was 16% and did not differ significantly between the evacuated group (15%) and the nonevacuated group (17%). CONCLUSION: This large cohort of patients with acute traumatic subdural hematoma demonstrated a lower mortality rate than those of previous reports, including among patients requiring surgical evacuation (J Trauma Acute Care Surg. 2012;73:1348-1352). LEVEL OF EVIDENCE: Epidemiologic study, level III.<p /> <p>Language: en</p>",
language="en",
issn="2163-0755",
doi="10.1097/TA.0b013e31826fcb30",
url="http://dx.doi.org/10.1097/TA.0b013e31826fcb30"
}