Demographics and prevalent risk factors of chronic subdural haematoma: results of a large single-center cohort study
Demographics and prevalent risk factors of chronic subdural haematoma: results of a large single-center cohort study
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DOI：
10.1007/s10143-004-0337-6
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发表时间：
2004-10-01
影响因子：
2.8
通讯作者：
Gratzl, O
中科院分区：
文献类型：
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作者：
Baechli, H;Nordmann, A;Gratzl, O
慢性硬膜下血肿（CSDH）是神经外科常见病，多见于老年人。随着一般人群中老年人数量的增加，有必要研究可能与该疾病发展相关的风险因素（年龄、福尔斯、抗凝剂或抗血栓治疗）。我们回顾了7年（1996-2002）内354例接受CSDH手术的患者，这些年的发生率平均分布。CSDH发生在老年人（≥ 65岁）比年轻人（69%比31%）更常见，男性比女性（64%比36%）更常见。77%的患者报告了福尔斯。老年人有福尔斯跌倒风险更高的趋势。41%的患者接受了抗血栓或抗凝治疗，其中32%的患者曾发生过福尔斯。总体术后死亡率为0%，总体复发率为13.6%。老年人群中的CSDH，尤其是男性，通常与福尔斯和抗凝或抗血栓治疗相关。这些药物的适应症，特别是在有福尔斯风险的老年患者中，应仔细评估和控制。
Chronic subdural haematoma (CSDH) is a typical disease in elderly patients and encountered frequently in neurosurgical practice. With an increasing number of elderly people in the general population, there is a need to investigate risk factors (age, falls, anticoagulant or antithrombotic therapy) which could be pertinent to the development of this disease. We reviewed 354 patients undergoing surgery for CSDH over a period of 7 years (1996-2002), the occurrence being equally distributed over these years. CSDH occurred more often in elderly (greater than or equal to65 years) than in younger people (69 vs 31%), and in men than in women (64 vs 36%). Falls were reported in 77% of patients. There was a trend towards a higher risk of falls in the elderly. Antithrombotic or anticoagulant therapy was present in 41% of patients, 32% of them having had falls. Overall postoperative mortality was 0% and overall recurrence rate 13.6%. CSDH in the elderly population, especially in men, is frequently associated with falls and anticoagulation or antithrombotic therapy. The indication for these medications, especially in elderly patients at risk for falls, should be carefully evaluated and controlled.