Acute Surgery vs Conservative Treatment for Traumatic Acute Subdural Hematoma.

ABSTRACT:

Importance

It is unclear whether performing surgery for most patients with an acute subdural hematoma (ASDH) and traumatic brain injury (TBI) is superior to conservative treatment.

Objective

To compare the effectiveness of a strategy preferring acute surgical ASDH evacuation with one preferring initial conservative treatment.

Design, setting, and participants

This comparative effectiveness study used data from February 1, 2014, to July 31, 2018, from the prospective observational Transforming Research and Clinical Knowledge in Traumatic Brain Injury Study, conducted at 18 Level 1 trauma centers in the US. The study included patients with nonpenetrating TBI presenting to the emergency department and admitted within 24 hours after injury with ASDH detected on acute head

SUBMITTER: Van Essen TA 

PROVIDER: S-EPMC12495496 | biostudies-literature | 2025 Oct

REPOSITORIES: biostudies-literature