Volume : 2, Issue : 7, JUL 2016

PATIENT PROFILE AND OUTCOME OF SUBDURAL HAEMATOMAS, A SINGLE CENTRE EXPERIENCE IN KENYA

Dr. Nasio A. Nasio

Abstract

A subdural haematoma (SDH) is a collection of blood between the dura matter and the arachnoid membrane. A prospective cross sectional descriptive study of all patients admitted with subdural haematoma as diagnosed on CT scan was conducted at the Nakuru level five hospital between 1st January 2015 and 30th November 2015. Four hundred and forty five patients were admitted with a diagnosis of head injury. Of these a total of sixty seven (67) patients were diagnosed on head CT Scan to have a subdural haematoma. There were sixty males and seven females with a male to female ratio of 8.6:1. The age ranged from three years to one hundred years with a mean of 43years (std 21.36.) The commonest causes of traumatic subdural haematoma in this subset of patients were falls and assault or violence related each at 25.4%. Sixty four percent (n=43) of the patients had mild head injury, 19 patients (28%) had moderate head injury while five patients (7.5%) had severe head injury. At discharge fifty one patients (76.1%) recorded a good recovery, five (7.5%) had varying degrees of disability while eleven patients died (16.4%). There is an important co relationship between the post non surgical resuscitation Glasgow coma score at admission and poor outcome (p<0.001). Likewise a history of loss of consciousness (p=0.031) and the presence of other associated injury (p=0.038) predicted a poor outcome.

Keywords

Subdural, haematoma, head injury.

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