Pustaka Ilmiah Universitas Padjadjaran

Abstrak

Traumatic Intracranial Haematomas In Elderly Related To Its Outcome

Background : Management of traumatic brain injury in elderly gives dilemma situations in neurosurgery. They often have complexities in pre-existing medical conditions and other considerations. The benefit of both surgery or non-surgery intervention in traumatic intracranial haematomas is controversy because of its poorer outcomes. Objectives : We want to record factors influencing outcome in elderly patient with traumatic intracranial haematomas. Methods : Data was recorded retrospectively from medical records in 2009 until 2010. All trauma patients over the age 60 with traumatic intracranial haematomas confirmed by head CT scan are included in this study. We record patients’ demographic data, diagnosis, mechanism of injury, GCS admission, other associated injuries, pre-existing disease, treatment, GCS discharge, mortality and length of hospitality. Outcome categorized in GCS discharge, length of stay in hospital, and mortalities. Data was analyzed statistically using SPSS 13.0 version. Results : We found 40 cases included in this study, 32 cases (80%) were male and 8 cases (20%) were female with average age was 69.38 ± 4.68 years old. The most common cause of injury was pedestrian struck by motorcycle (47,5%). There were 4 (10%) cases with intracerebral haematomas, 2 cases (5%) with epidural haematomas, 1 case (2,5%) with subdural haematomas, 1 case (2,5%) with cerebral contusion, and 32 cases (80%) with multiple intracranial haematomas. 37,5% cases were treated by surgery. Mortality were 37,5% and most common in 60-65 years old (17,5%). Most influencing factor in mortality is intracerebral haematoma with OR = 5.09. GCS admission 14-15 and intraventricular haemorrhage are protective of mortality with OR <1. Conclusion : Intracerebral haematoma in elderly with single or multiple intracranial haemorrhage has influence in mortality.