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Revista de la Facultad de Medicina Humana
versión impresa ISSN 1814-5469versión On-line ISSN 2308-0531
Resumen
PALOMINO, Marjhory Martínez; MOSTAJO, Marco Melgarejo; CHANDUVI, Willer y GUILLEN PONCE, Rocío. Predisponent factors associated with chronic subdural hematoma in adults and elderly adults treated at the neurosurgery and geriatrics service at the María Auxiliadora Hospital in the period 2016-2020. Rev. Fac. Med. Hum. [online]. 2022, vol.22, n.2, pp.327-334. Epub 16-Mar-2022. ISSN 1814-5469. http://dx.doi.org/10.25176/rfmh.v22i2.4617.
Introduction:
A common pathology in the Neurosurgery Service is chronic subdural hematoma (CSDH), affecting elderlymalepatients.Itisanaccumulationofbloodthatislocatedinthesubduralspacethatcanoccur spontaneously or be the result of a head injury or other pathologies such as high blood pressure (HBP), type 2 diabetes mellitus (DM2), alcoholism, or external factors such as head trauma (CT) and consumption of platelet antiaggregants.
Objective:
To determine how predisposing factors are associated with CSDH in adults and older adults treated at the Neurosurgery and Geriatrics Service at the María Auxiliadora Hospital (HMA) in 2016-2020.
Methods:
An analytical, observational, retrospective study of cases and controls was carried out through data collection from medical records.
Results:
Association was found with age 60 to 96 years (adjusted OR = 2,52; 95% CI: 1,43 - 4,80), male gender (adjusted OR = 4,10; 95% CI: 2,30 - 7,60), alcohol consumption (adjusted OR = 3,06; 95% CI: 1,06- 8,83), hypertension (adjusted OR = 2,51; 95% CI: 1,16- 5,43), DM2 ( Adjusted OR = 2,49; 95% CI: 1,03-6,01) and CT (adjusted OR = 3,35; 95% CI: 1,87- 6,03).
Conclusions:
The sociodemographic factors age and sex are associated with HSDC. Alcohol consumption, hypertension, DM2, and history of TC are associated with HSDC.
Palabras clave : Predisposing factors; Chronic subdural hematoma; Adult; Elderly.(Source: MeSH NLM)..