Subdural hematoma expansion in relation to measured mean and peak systolic blood pressure: A retrospective analysis.

ABSTRACT:

Objective

Subdural hematomas (SDH) account for an estimated 5 to 25% of intracranial hemorrhages. Acute SDH occur secondary to rupture of the bridging veins leading to blood collecting within the dural space. Risk factors associated with SDH expansion are well documented, however, there are no established guidelines regarding blood pressure goals in the management of acute SDH. This study aims to retrospectively evaluate if uncontrolled blood pressure within the first 24 h of hospitalization in patients with acute SDH is linked to hematoma expansion as determined by serial CT imaging.

Methods

A single center, retrospective study looked at 1,083 patients with acute SDH, predominantly above age 65. Of these, 469 patients met the inclusion criteria. Blood pressure was measured

SUBMITTER: Plowman K 

PROVIDER: S-EPMC9618657 | biostudies-literature | 2022

REPOSITORIES: biostudies-literature