Management of Acute Subdural Hematoma: Single-centre Experience with 20 Subjects

INTRODUCTION: Given the high morbidity and the mortality that arise from the acute subdural hematoma (ASDH), factors affecting the clinical and neurological outcomes need to be clarified. This retrospective study purposes of demonstrating a single-center experience of the surgical treatment of subjects with ASDH and aims to find out to the contributors to the in-hospital mortality in subjects with ASDH.
METHODS: This retrospective study analyzed data of 20 subjects who underwent surgical evacuation of an acute subdural hematoma. Data concerning demographic features and pre-and postoperative hemodynamic parameters were retrieved from electronic medical records.
RESULTS: The median length of the intensive care unit (ICU) stay was seven (2-28) days. In-hospital mortality occurred in four (20%) subjects. Correlation analyses revealed that intraoperative mean arterial pressure was significantly correlated with in-hospital mortality (r=-0.565, p=0.009).
DISCUSSION AND CONCLUSION: In our study population, the mortality from surgical management of the ASDH was 20%, which is quite lower than the reported mortality rate in previous studies. Intraoperative mean arterial pressure was a significant contributor to in-hospital mortality. Rapid and vigorous management of the intraoperative hypotension may improve the surgical outcomes in subjects with ASDH.