KẾT QUẢ ĐIỀU TRỊ CHẤN THƯƠNG SỌ NÃO Ở NGƯỜI CAO TUỔI TẠI BỆNH VIỆN ĐA KHOA TỈNH THÁI BÌNH

Abstract

Objectives: To assess clinical characteristics, lesions on CT scan and treatment outcomes of traumatic brain injury in the elderly. Methods: Cross-sectional descriptive study carried out among 161 elderly patients with traumatic brain injury treated at Thai Binh Provincial General Hospital during the period from February to August 2020. Results: 161/534 patients equalled (30.1%), including 101 males (62.7%), 60 females (37.3%);  median age 71.1±8.8; the most comme cause was traffic accidents which accounted for 51.6%, domestic accidents made up 42.8%. Clinical severity comprised minor (91.3%), moderate (6.2%), severe  (2.5%) only. CT findings: Acute subdural hematoma accounted for the highest rate (47.2%), the following were subarachnoid hemorrhage (28.6%) and epidural hematoma (5.6%). There were 14 cases having chronic diseases out of 161 hospitalized patients.  In which, the most common was hypertension (24.2%), type 2 diabetes (9.9%).  Conservative treatment accounted for the majority (86.3%), only (13.7%) underwent surgery. Hospital discharge state:  stable 90.7%;  mild sequelae 4.3%, moderate sequelae 2.5%, severe sequelae 1.9%. Mortality 0.6%. Conclusion: In geriatric traumatic brain injuries, males accounted for a high rate. The most common chronic comorbidity was diabetes; The most common type of hematoma was acute subdural (47.2%), surgeries accounted for (13.7%). The stability on hospital discharge achieved (90.7%). Mortality (0.6%).