Traumatic Acute Subdural Hematoma — Major Mortality Reduction in Comatose Patients Treated within Four Hours

Authors

John M. Seelig , M.D., Virginia Commonwealth University
Donald P. Becker , M.D., University of California - Los Angeles
J. Douglas Miller , M.D., Ph.D., F.R.C.S., F.A.C.S.
Richard P. Greenberg , M.D., Ph.D., Universita Degli Studi Di Bologna
John D. Ward , M.D., Virginia Commonwealth University, Medical College of Virginia
Sung C. Choi , Ph.D, Virginia Commonwealth University, Medical College of Virginia

Document Type

Article

Original Publication Date

1981

Journal/Book/Conference Title

The New England Journal of Medicine

Volume

304

Issue

25

First Page

1511

Last Page

1518

DOI of Original Publication

10.1056/NEJM198106183042503

Comments

Originally published at http://dx.doi.org/10.1056/NEJM198106183042503

Date of Submission

January 2015

Abstract

To discover which factors contributed to recovery after surgical intracranial decompression, we reviewed the records of 82 consecutive comatose patients with traumatic acute subdural hematoma (ASDH) who were treated in a single center under a uniform protocol. The delay from injury to operation was the factor of greatest therapeutic importance. Patients who underwent surgery within the first four hours had a 30 per cent mortality rate, as compared with 90 per cent in those who had surgery after four hours (P

Rights

From The New England Journal of Medicine, Seelig, J.M., Becker, D.P., Miller, J.D., et al., Traumatic Acute Subdural Hematoma — Major Mortality Reduction in Comatose Patients Treated within Four Hours, Vol. 304, Page 1511, Copyright © 1981 Massachusetts Medical Society. Reprinted with permission.

Is Part Of

VCU Biostatistics Publications