Correlation between Glasgow coma scale on admission and clinical outcome of patients with unilateral chronic subdural hematoma after surgery

• Main Authors: K. M. Tarikul Islam, Md. Motasimul Hasan, Sukriti Das, Ehsan Mahmood, Kanak Kanti Barua
• Format: Article
• Language: English
• Published: Bangabandhu Sheikh Mujib Medical University 2017-06-01
• Series: Bangabandhu Sheikh Mujib Medical University Journal
• Subjects: Glasgow coma scale; Surgery; Unilateral chronic subdural hematoma
• Online Access: https://www.banglajol.info/index.php/BSMMUJ/article/view/32711

This study was undertaken to determine the influence of Glasgow coma scale (GCS) on admission on clinical outcome of patients with unilateral chronic subdural hematoma after surgery. A cross- sectional study was conducted on 33 consecutive patients, among them 28 were male, 5 were female with GCS 6 to 15. 19 patients out of 22 who had GCS 14-15 had favorable GOS at 24 hours as compared to 2 out of 7 in GCS 9-13 group and none in GCS ?8 group. All patients (22 out of 22) had favorable GOS at the time of discharge in GCS 14-15 group while 8 out of 9 had favorable GOS in GCS 9-14 group and 1 out of 2 patients had favorable GOS in GCS ?8 group. Chi square test showed significant difference in outcome between 14-15, 9-13 and ?8 GCS groups (p values 0.001, 0.015, 0.013 respectively). In conclusion, clinical outcome of patients with unilateral chronic subdural hematoma depends on Glasgow coma scale on admission.