gms | German Medical Science

131. Kongress der Deutschen Gesellschaft für Chirurgie

Deutsche Gesellschaft für Chirurgie

25.03. - 28.03.2014, Berlin

The influence of coagulopathy on outcome after traumatic subdural hematoma: a retrospective single-center analysis of 319 patients

Meeting Abstract

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  • Johannes Lemcke - Unfallkrankenhaus Berlin, Neurochirurgie, Berlin
  • Martina Ebenau - Unfallkrankenhaus Berlin, Neurochirurgie, Berlin
  • Ferass Al-Zain - Unfallkrankenhaus Berlin, Neurochirurgie, Berlin
  • Ullrich Meier - Unfallkrankenhaus Berlin, Neurochirurgie, Berlin

Deutsche Gesellschaft für Chirurgie. 131. Kongress der Deutschen Gesellschaft für Chirurgie. Berlin, 25.-28.03.2014. Düsseldorf: German Medical Science GMS Publishing House; 2014. Doc14dgch237

doi: 10.3205/14dgch237, urn:nbn:de:0183-14dgch2372

Published: March 21, 2014

© 2014 Lemcke et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.



Background: The aim of this study was to identify the effects of coagulopathy on the outcome of patients with SDH.

Methods: Based on a retrospective study, the records of all patients admitted between 2001 and 2007 to a large emergency hospital with acute SDH resulting from TBI were analyzed. An initial Glasgow coma score (GCS), clinical state, and outcome score (GOS) were recorded for all patients. All CT and MRI scans obtained from patients were saved on an electronic storage device and were reviewed by a neurosurgeon and a neuro-radiologist. The coagulation parameters were analyzed for all patients. Coagulopathy was defined as INR > 1.2 or pTT > 37s.

Results: 105 women and 214 men aged between 1 and 100 years (mean 59 years) were included in the study. Patients with coagulopathy had a significantly worse outcome. Almost twice as many patients died in the coagulopathy group (mean GOS 3.10 ± 1.46) than in the group without coagulopathy (mean GOS 2.16 ± 1.45), (p<0.001)

Discussion: Inhospital mortality is twice as frequent in patients with coagulopathy with tSDH compared to non-coagulopathic patients, even if the initial severity of the TBI does not differ.