Epidemiology of Acute Subdural Haematoma – A Prospective Study

ABSTRACT

Background: Epidemiological knowledge of Acute Subdural Haematoma (ASDH) is needed to prevent and to develop care and rehabilitation of patients. Aims & Objectives: The aims and objectives of this study is to find the solotionsto decrease the incidence of ASDH and offer recommondationsto their prevention. Material & Methods: It is a prospective study conducted in Department of Neurosurgery, Rangaraya Medical College, Kakinada over a period of two years from December 2015 to December 2017. 100 cases are taken for study with head injury, diagnosed to have traumatic Acute Subdural Haematoma (ASDH). Epidemiological pattern of ASDHis studied by performing a systematic review of literature, using information obtained from our centerGovernment General Hospital, Neurosurgery Department, Kakinada. collecting data on demographics, showing characteristics of ASDH including incidence, identification of risk groups on differences in age, gender, geographical variation, severity and mortality. Results: Studies suggest that the incidence of ASDH is between 10 -45 % leading cause of death. Men and people living in social and economical deprived areas, usually young adults and the elderly are high-risk groups for ASDH. 49% of patients are in 3rd to 5th decade., percentage of mortality is increasing with age. Male predominance is seen. Rural population is more effected than urban. Road Traffic Accidents are the most common mode of head injuries GCS between 9-12 was found in 46% of patients and is most common mode of presentation at the time of admission Conclusions: Most public epidemiological data showed that ASDH is a major cause of mortality and disability. The effort to understand ASDH and the available strategies to treat this lesion, in order to improve clinical outcomes after ASDH, may be based on an increase in research on the epidemiology of ASDH.