Traumatic Subdural Hematoma
Conditions
Keywords
subdural hematoma, readmission, risk factors
Brief summary
Acute traumatic subdural hematomas (TSDH) readmission rate is high (27.8%) with an increase in morbidity and cost for the elderly. This study identifies risk factors affecting readmission rates for these patients and presents strategies to reduce it.
Detailed description
A retrospective analysis was conducted on patients with traumatic brain injuries (ICD-9-CM codes 800.20 - 801.86, 852.00 - 853.05) admitted between 2014 and 2016 at Genesys Regional Medical Center through the trauma service. From this group, the investigators selected patients admitted with traumatic SDH, and those patients were followed over the following 6 months as regards to readmission status. Patients who were readmitted versus patients who were not readmitted were compared. The risk of readmission within 6 months of discharge for SDH was analyzed adjusting for age, prior anticoagulation use, Injury Severity Score (ISS), Glasgow Coma Scale (GCS), gender, time to readmission and co-morbid conditions which included diabetes mellitus, cardiovascular disease, renal disease, chronic obstructive pulmonary disease, and osteoporotic/orthopedic fractures using Cox Proportional Hazards Regression analysis.
Interventions
OTHERFollow-up Care
Follow up care provided upon readmission to patients who were diagnosed with a TSDH upon initial visit.
Sponsors
Tarik Wasfie, MD
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to 105 Years
Healthy volunteers
Yes
Inclusion criteria
* Patients diagnosed with Traumatic Subdural Hematoma during time of study
Exclusion criteria
* Patients who expired.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of participants readmitted to the hospital | 6 months | Number of patients diagnosed with TSDH who were readmitted to the hospital within a 6 month time frame |
Countries
United States
Outcome results
None listed