Abstract:

Aim: As the world's elderly population has increased, so has the incidence of associated disorders. Agerelated physiological changes both predispose the elderly to trauma and exacerbate the consequences of trauma. In our study, we aimed to determine the factors influencing the prognosis of geriatric patients who underwent surgery or were hospitalised for head trauma. Materials and Methods: Geriatric patients treated for head trauma in the neurosurgery department of of the hospital between 2012 and 2023 were included in the study. A total of 107 geriatric patients with head trauma treated by the same surgical team were retrospectively evaluated. Factors influencing the prognosis of 70 patients who underwent surgery and 37 patients who received only hospitalization and medical treatment were investigated. Demographic data, medical history, physical examination findings, radiological data, treatment modalities, causes of morbidity and mortality were evaluated, Results: The mortality rate was 20.5% in male patients and 32.4% in female patients. The final variables that had an effect on mortality were: thickness of hemorrhage on cranial computed tomography (CT), bleeding diathesis, haemodialysis, chronic subdural haematoma and length of stay in intensive care unit stay. Conclusion: Mortality risk in geriatric patients were 7.654-fold in patients with a haematoma thickness of more than 10 mm on cranial CT, 11.825-fold in patients with bleeding diathesis, 6.847-fold in patients receiving hemodialysis and 4.606-fold in patients without chronic subdural hematoma. As the duration of intensive care unit stay increases by one day, the mortality risk increases 1.052 times. The results of the study may help us to predict the prognosis in geriatric head trauma.

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