Journal of Isfahan Medical School

Journal of Isfahan Medical School

Examining the Association and Prevalence of Chronic Subdural Hematoma and Its Contributing Factors in Kashan City from 2016 to 2022

Document Type : Original Article(s)

Authors
Esmaeil Fakharian 1
KHadijeh Kalanfarmanfarma 2
Faezeh Asgari 3
Navid Davari 4
Aydine Omidvar 1
Hamed YazdanPanah 4
Payam Yazdipour 1
Soudabeh Yarmohammadi 2
1 Trauma Research Center, Department of Neurosurgery, Kashan University of Medical Sciences, Kashan, Iran
2 Trauma Research Center, Kashan University of Medical Sciences, Kashan, Iran
3 Trauma Research Center, Kashan University of Medical Sciences, Kashan, Iran.
4 Department of Neurosurgery, Kashan University of Medical Sciences, Kashan, Iran
10.48305/jims.v43.i831.1164
Abstract
Background: Subdural hematoma (SDH) complications typically result from the rupture of bridging veins traversing the subdural space. The chronic type of subdural hematoma has a more favorable prognosis if managed properly. This study aimed to examine the prevalence of chronic subdural hematoma and its associated factors in Kashan city from 2016 to 2022.
Methods: This was a retrospective study conducted on 172 patients with chronic subdural hematoma between 2016 and 2022. Convenience sampling was used, and patient data were extracted from their hospital records using a checklist. Data analysis was performed using descriptive tests (frequency, percentage, mean, and standard deviation) and inferential tests (Chi-square, Fisher's exact test, T-test, and ANOVA).
Findings: 127 patients (73.8%) were male, and the majority were over 60 years old (72.1%). The average hospitalization period was approximately 8 days, and most patients reported symptoms lasting less than a month (55.8%). No significant association was found between various variables and the type or outcome of subdural hematoma (P > 0.05). The trend in the number of hematoma cases was increasing from 2016 to 2019, decreasing from 2020 to 2021, and rising again in 2022.
Conclusion: This study highlights the importance of raising public awareness regarding the symptoms of subdural hematoma, particularly among individuals over 60 and those with pre-existing health conditions. Screening programs should be implemented to enable early detection of this condition and to manage associated underlying diseases.

Highlights

Esmaeil Fakharian: Google Scholar, PubMed

Soudabeh Yarmohammadi: Google Scholar, PubMed

Keywords
Hematoma
Subdural
Brain Injuries
Traumatic
Kashan
Iran

Subjects

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Journal of Isfahan Medical School
Volume 43, Issue 831
3rd Week November
November and December 2025
Pages 1164-1172

  • Receive Date 29 September 2024
  • Accept Date 05 October 2025