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Clinical and Demographic Profile of Patients Undergoing Surgery for Chronic Subdural Hematoma at a Tertiary Care Hospital in Nepal: An Observational Study

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creativeworkseries.issnJNMA Print ISSN: 0028-2715; Online ISSN: 1815-672X
dc.contributor.authorRaut, Rupesh
dc.contributor.authorKarki, Himal
dc.contributor.authorShrestha, Dinuj
dc.contributor.authorChapagain, Dipendra
dc.contributor.authorJha, Jay Bhusan
dc.contributor.authorRegmi, Sushant
dc.contributor.authorBista, Prakash
dc.date.accessioned2025-07-25T07:00:34Z
dc.date.available2025-07-25T07:00:34Z
dc.date.issued2025
dc.descriptionRupesh Raut Department of Neurosurgery, Patan Academy of Health Sciences, Lagankhel, Lalitpur, Nepal Himal Karki Patan Academy of Health Sciences, Lagankhel, Lalitpur, Nepal Dinuj Shrestha Department of Neurosurgery, Patan Academy of Health Sciences, Lagankhel, Lalitpur, Nepal Dipendra Chapagain Devchuli Municipal Hospital, Devchuli, Nawalparasi East, Nepal Jay Bhusan Jha Patan Academy of Health Sciences, Lagankhel, Lalitpur, Nepal Sushant Regmi Department of General Practice and Emergency Medicine, Patan Academy of Health Sciences, Lagankhel, Lalitpur, Nepal Prakash Bista Department of Neurosurgery, Patan Academy of Health Sciences, Lagankhel, Lalitpur, Nepal
dc.description.abstractAbstract Introduction: Chronic subdural hematoma is increasingly common in aging populations and presents with a wide range of presentations. Despite its rising incidence, there is a lack of clinical and demographic characterization of chornic subdural hematoma in the Nepali population. This study aimed to describe the demographic and clinical characteristics of chornic subdural hematoma patients. Methods: A retrospective observational cross-sectional study was conducted in the Department of Neurosurgery of a tertiary care center. Data were retrospectively collected from all patients who underwent surgery for chornic subdural hematoma between March 2022 and March 2024. Variables such as age, sex, clinical presentation, risk factors, length of hospital stay, and in-hospital mortality were recorded. Data were entered into Microsoft Excel and analyzed using the Statistical Package for Social Sciences software 16.0. Results: Among 52 patients, 39 (75%) were male. The mean age of patients was 63.10±14.72 years (95% CI: 59.00-67.21), with 34 (65.38%) patients aged over 60 years. The average length of hospital stay was 9.04±8.69 days. Twenty-five (48.08%) patients had a history of head trauma, followed by 15 (28.85%) with chronic alcohol use. Motor weakness, altered mental status, and headache were common clinical manifestations, presenting in 27 (51.92%), 18 (34.62%), and 15 (28.85%) patients, respectively. There were 4 (7.69%) recurrences and 3 (5.77%) deaths following surgery for chornic subdural hematoma. Conclusions: Chornic subdural hematoma was more common among elderly male, especially those with a history of head trauma and chronic alcohol use. Motor weakness and unilateral hematomas were common findings.
dc.identifierhttps://doi.org/10.31729/jnma.9070
dc.identifier.urihttps://hdl.handle.net/20.500.14572/674
dc.language.isoen_US
dc.publisherNepal Medical Association
dc.titleClinical and Demographic Profile of Patients Undergoing Surgery for Chronic Subdural Hematoma at a Tertiary Care Hospital in Nepal: An Observational Study
dc.typeArticle
dspace.entity.typePublication
local.article.typeOriginal Article
relation.isJournalIssueOfPublicationa8806f19-e834-4b08-9f17-93a18d216d43
relation.isJournalIssueOfPublication.latestForDiscoverya8806f19-e834-4b08-9f17-93a18d216d43
relation.isJournalOfPublicatione6e146a0-0ece-4aba-aa0a-6ccfbd10a12a

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