UNASSIGNED: OBJECT @entity6087 (SDH) or @entity1410 is a condition that affects elderly individuals. With advances in medical care, the number of nonagenarians and centenarians will increase. However, surgical treatments in this age group are associated with high rates of morbidity and mortality. Because no data are available on the rates of survival among elderly @entity1 with chronic SDHs who undergo surgical drainage or receive only conservative care, the goal of this study was to determine survival rates in @entity1 90 years of age or older with symptomatic chronic SDHs. METHODS The authors conducted a retrospective analysis of @entity1 data that were collected at 3 hospitals over a 13-year period (from January 2001 to June 2013). The data from @entity1 90 years or older with symptomatic chronic SDHs and who were offered surgical treatment were included in the analysis. @entity1 who underwent surgical treatment were included in the surgical group and @entity1 who declined an operation were included in the conservative care group. The @entity1 ' Charlson Comorbidity Index score, Karnofsky Performance Scale score, dates of @entity204 , presenting symptoms, Glasgow @entity772 Scale score, length of stay in the hospital, discharge location, side of the SDH, and neurological improvements at 30-day and 6-month follow-ups were recorded. Data were statistically analyzed with Fisher exact test, Kaplan-Meier curves, and logistic regression. RESULTS In total, 101 @entity1 met the inclusion criteria of this study; 70 of these @entity1 underwent surgical drainage, and 31 received conservative care. @entity1 in the surgical group had statistically significantly (p < 0.001) higher survival at both the 30-day and 6-month follow-ups, with 92.9% and 81.4% of the @entity1 in this group surviving for at least 30 days and 6 months, respectively, versus 58.1% and 41.9%, respectively, in the conservative care group. Moreover, the mean overall length of survival of 34.4    28.7 months was longer in the surgical group than it was in the conservative care group (11.3    16.6 months). Overall, 95.7% of @entity1 in the surgical group exhibited an improvement in neurological status after the SDH drainage, whereas none of the @entity1 in the conservative care group showed any neurological improvement during their hospital stay. The surgical complication rate was 11.4%, and the overall rate of chronic SDH recurrence after surgery was 12.9%. CONCLUSIONS Surgical drainage of chronic SDHs in nonagenarians and centenarians is associated with lower incidence of inpatient @entity204 and higher 30-day and 6-month survival rates.

Outcomes of XXXX drainage in nonagenarians and centenarians: a multicenter study.

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients', 'patient'] @entity772 :: ('MESH:D003128', 'Disease') :: ['Coma'] @entity6087 :: ('MESH:D020200', 'Disease') :: ['Chronic subdural hemorrhage'] @entity1410 :: ('MESH:D006406', 'Disease') :: ['hematoma'] @entity204 :: ('MESH:D003643', 'Disease') :: ['death']
@entity6087 :: (MESH:D020200,Disease) :: ['chronic subdural hematoma']
