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Issue: Vol. 561 No. 3 (2026)
Section: Các bài báo
DOI: 10.51298/vmj.v561i3.18481
Date Published: 11/08/2026
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How to Cite
Trần, A. Đ. (2026). FACTORS ASSOCIATED WITH POOR EARLY OUTCOMES AFTER SURGERY FOR ACUTE TRAUMATIC SUBDURAL HEMATOMA. Vietnam Medical Journal, 561(3). https://doi.org/10.51298/vmj.v561i3.18481

FACTORS ASSOCIATED WITH POOR EARLY OUTCOMES AFTER SURGERY FOR ACUTE TRAUMATIC SUBDURAL HEMATOMA

Anh Đức Trần1,
1 Học viện Quân y

Main Article Content

Abstract

Objective: To evaluate factors associated with poor early outcomes after surgery for acute traumatic subdural hematoma.


Methods: This descriptive analytical study included 90 patients who underwent surgery at the Department of Neurosurgery, Military Hospital 103, from January 2023 to December 2025. Early outcome at discharge was assessed using the Glasgow Outcome Scale (GOS), and patients were classified into a favorable outcome group (GOS 4-5) and a poor outcome group (GOS 1-3). Prognostic factors were analyzed using univariable and multivariable logistic regression.


Results: Males accounted for 77.8% of the study population; the mean age was 41.6 ± 16.3 years. The rate of favorable early outcome was 38.9%, while poor outcome was observed in 61.1%. In multivariable analysis, admission GCS 3-8 (adjusted OR = 16.89; 95% CI: 4.40-64.74; p < 0.001) and midline shift ≥ 10 mm (adjusted OR = 6.09; 95% CI: 1.67-22.16; p = 0.004) were two factors associated with poor outcome.


Conclusion: Low admission GCS and marked midline shift on CT were two factors associated with poor early outcomes after surgery for acute traumatic subdural hematoma.

Keywords

Acute subdural hematoma, traumatic brain injury, early outcome

Article Details

References

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