Superiority of craniotomy over supportive care for octogenarians and nonagenarians in operable acute traumatic subdural hematoma

James Duehr,Sebastian Rodriguez-Torres,Confidence Njoku-Austin,Kevin Patel,Hansen Deng,D Kojo Hamilton,David O Okonkwo,Ava M Puccio,Enyinna L Nwachuku

Clinical Neurology and Neurosurgery（2022）

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摘要

•In 80 + year olds who suffered acute Subdural Hematomas, craniotomy is protective.•The survival advantage is greater in those who have a lower GCS on first exam.•In patients with first GCS of 14 + , the smaller benefit may not justify the risk.•We adjusted for age, sex, and comorbidities in our analyses.

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关键词

Traumatic brain injury,Subdural hematoma,Subgroup analysis,Geriatric surgery,Neurosurgery

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