Assessment of surgical treatment and outcome of chronic subdural hematoma at University of Gondar Comprehensive Specialized Hospital, a one year prospective study.

Journal: World neurosurgery

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Affiliated Institutions:  Department of Surgery, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia. Electronic address: yderbew@gmail.com. College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia. Department of Internal Medicine, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.

Abstract summary 

Chronic subdural hematomas are a relatively common condition defined as an abnormal collection of blood and its break down products in the subdural space, usually accompanied by a history of preceding mild head trauma. Surgical management remains the mainstay of treatment. The objective of this study was to assess the surgical treatment outcome of patients operated on for chronic subdural hematoma at University of Gondar Comprehensive Specialized Hospital, Northwest Ethiopia. This comprehensive novel study serves as a benchmark for assessing therapeutic outcomes among patients with chronic subdural hematoma in the context of Ethiopia.Institution-based prospective observational study was conducted among patients operated on for symptomatic chronic subdural hematoma at University of Gondar Comprehensive Specialized Hospital from January 1, 2023, to December 31, 2023 G.C.A total of 107 patients (70 males (65.4%) and 37 females (34.6%) with a male to female ration of 1.9:1 and mean age of 62.4 and a standard deviation of 13.7 (range from 23 to 92) were studied. 51 (47.7%) of the patients had a history of antecedent trauma. In terms of clinical symptoms, 86 (80.4%) patients had weakness as the chief complaint, followed by headache in 81 (75.7%). Among complications, recurrence is the most common, which was seen in 16 (15%) patients, followed by altered mental status (confusion, delirium) in 18 (16.8%) patients. The mean duration of the hospital stay was 6 days, with a standard deviation of 4 days. The majority of the patients had a good recovery with the resumption of normal life: 92 (86%), 10 (9.3%) patients had moderate disability, were disabled but independent, 2 (1.8%) patients had severe disability, were dependent on daily support, and 3 (2.8%) patients died.Chronic subdural hematomas are a relatively common condition characterized by an abnormal collection of blood. Antecedent trauma is the usual risk factor. Complication can happen following surgical intervention; however, patients with chronic subdural hematoma generally have a good prognosis.

Authors & Co-authors:  Molla Yohannis Derbew YD Alemu Hirut Tesfahun HT Gebrehana Deresse Abebe DA

Study Outcome 

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Citations : 
Authors :  3
Identifiers
Doi : S1878-8750(24)00766-6
SSN : 1878-8769
Study Population
Male,Female
Mesh Terms
Other Terms
chronic;hematoma;outcome;prospective;subdural
Study Design
Study Approach
Country of Study
Ethiopia
Publication Country
United States