KẾT QUẢ ĐIỀU TRỊ MÁU TỤ DƯỚI MÀNG CỨNG MẠN TÍNH Ở NGƯỜI CAO TUỔI TẠI BỆNH VIỆN ĐA KHOA TỈNH THÁI BÌNH

Abstract

Objective: To assess the outcomes of chronic subdural hematoma treatment in the elderly at Thai Binh general hospital. Methods: A descriptive cross-sectional study was conducted among 75 elderly patients with chronic subdural hematoma treated at Thai Binh  General Hospital from April 2021 to December 2022. Results: 75 patients including 58 males (77.3%), 17 females (22.7%); Average age was 73.77 ± 8.88 years old (from 60 to 96); The most common age group was (70-79) accounted for 41.3%. The most common cause was trauma (76%), not remembering head injury (24%). Traumatic brain injury due to falls was (64%). Mild traumatic brain injury (GCS score was 13-15) constituted 93.3%; moderate (GCS 9-12) added up to 6.7%. CT scan demonstrated that average hematoma thickness was 19.39 ± 7.01mm, midline shift was 6.42 ± 6.00mm; There were 26 patients with bilateral chronic subdural hematoma  made up (34.7%). Most chronic subdural hematoma patients were operated by single burr-hole craniostomy; 26 patients with bilateral chronic subdural hematoma had bilateral drainage. Most patients were reported with recovery from decreased consciousness and paralysis; However, there were still sequelae of mild headaches, insomnia and incomplete paralysis. There were no deaths. Conclusion: Chronic subdural hematoma in the elderly is common in males, the most common cause is falls, most of them admitted to the hospital with good mental status. Single-hole craniotomy to drain hematoma is a safe and effective method.