{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T11:15:05Z","timestamp":1788347705383,"version":"build-2803163510"},"reference-count":13,"publisher":"Wiley","issue":"7-8","license":[{"start":{"date-parts":[[2025,8,15]],"date-time":"2025-08-15T00:00:00Z","timestamp":1755216000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,8,15]],"date-time":"2025-08-15T00:00:00Z","timestamp":1755216000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2026,7]]},"abstract":"ABSTRACT<\/jats:title>\n \n Background<\/jats:title>\n Subdural haematoma (SDH) is an increasingly common neurosurgical condition, particularly in aging and at\u2010risk populations. In the Northern Territory, the burden of neurotrauma is compounded by geographic remoteness and disparities in access to care. This study aimed to describe the incidence, management and outcomes of SDH at Royal Darwin Hospital.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n \n A retrospective cohort study was conducted of all adults (\u2265\u200918\u2009years) admitted to Royal Darwin Hospital with convexity\n SDH<\/jats:styled-content>\n between June 2014 and May 2020. Clinical and radiological data were extracted from medical records. Incidence was calculated using 2016 Census data. Outcomes were assessed using the Glasgow Outcome Scale\u2014Extended (\n GOSE<\/jats:styled-content>\n ) at discharge and 6\u2009months.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n A total of 247 patients were included. The incidence of\n SDH<\/jats:styled-content>\n was 23.4 per 100\u2009000 person\u2010years (95%\n CI<\/jats:styled-content>\n : 17.3\u201331.7), higher than national estimates. Patients travelled a mean distance of 121\u2009km to access care, highlighting geographic barriers. Most patients (67%) presented with acute\n SDH<\/jats:styled-content>\n , and 44% underwent surgical intervention, with burrhole drainage being the most common procedure. Functional outcomes were favourable in 65.2% at discharge and 70.5% at 6\u2009months. Initial Glasgow Coma Scale scores strongly predicted outcomes. The 30\u2010day mortality rate was 16.9%.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n SDH represents a significant burden on regional neurosurgical services in Northern Australia. The findings underscore the challenges of delivering timely care across vast distances and the need for improved service models to support neurotrauma care in rural and remote settings.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/ans.70285","type":"journal-article","created":{"date-parts":[[2025,8,15]],"date-time":"2025-08-15T10:19:53Z","timestamp":1755253193000},"page":"2102-2107","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Subdural Haematoma at the Royal Darwin Hospital, Australia: A 6\u2010Year Review of Epidemiology, Management and Outcomes"],"prefix":"10.1111","volume":"96","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-5460-9549","authenticated-orcid":false,"given":"Charlie","family":"Cho","sequence":"first","affiliation":[{"name":"Department of Neurosurgery Royal Brisbane and Women's Hospital Brisbane Queensland Australia"},{"name":"Griffith University Gold Coast Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5597-3032","authenticated-orcid":false,"given":"Joseph","family":"Yoon","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery Royal Brisbane and Women's Hospital Brisbane Queensland Australia"},{"name":"Department of Neurosurgery Royal Darwin Hospital Tiwi Northern Territory Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-5384-0380","authenticated-orcid":false,"given":"Claire Maree","family":"O'Bryan","sequence":"additional","affiliation":[{"name":"Flinders University Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rhiannon","family":"Oakhill","sequence":"additional","affiliation":[{"name":"Flinders University Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Redmond","sequence":"additional","affiliation":[{"name":"University of Queensland Brisbane Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,8,15]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2016.11.115"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10143\u2010019\u201001194\u20103"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.3171\/2013.1.FOCUS12418"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1080\/02688697.2021.1907479"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/ans.13138"},{"key":"e_1_2_11_7_1","unstructured":"Australian Institute of Health and Welfare \u201cAustralia's Health 2022: Data Insights \u201dReport No.: AUS 241 (AIHW 2022)."},{"key":"e_1_2_11_8_1","unstructured":"Australian Bureau of Statistics \u201cNorthern Territory Census Aboriginal and\/or Torres Strait Islander People QuickStats \u201d2021 https:\/\/www.abs.gov.au\/census\/find\u2010census\u2010data\/quickstats\/2021\/IQS7."},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1089\/neu.1998.15.573"},{"issue":"2","key":"e_1_2_11_10_1","first-page":"141","article-title":"Access to Specialist Neurosurgical Care in Rural Australia: A Spatial Modelling Study","volume":"28","author":"Warburton R. N.","year":"2020","journal-title":"Australian Journal of Rural Health"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.5694\/mja2.50881"},{"issue":"10","key":"e_1_2_11_12_1","first-page":"2801","article-title":"Disparities in Trauma Outcomes Between Indigenous and Non\u2010Indigenous Australians: A Systematic Review","volume":"52","author":"Phillips B. N.","year":"2021","journal-title":"Injury"},{"key":"e_1_2_11_13_1","first-page":"201","article-title":"Outcomes and Prognostic Factors of Acute Subdural Hematoma in Adults: A Systematic Review","volume":"94","author":"Feghali J.","year":"2022","journal-title":"Journal of Clinical Neuroscience"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913\u2010023\u201009921\u20107"}],"container-title":["ANZ Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ans.70285","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/ans.70285","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ans.70285","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T10:32:39Z","timestamp":1788345159000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ans.70285"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,8,15]]},"references-count":13,"journal-issue":{"issue":"7-8","published-print":{"date-parts":[[2026,7]]}},"alternative-id":["10.1111\/ans.70285"],"URL":"https:\/\/doi.org\/10.1111\/ans.70285","archive":["Portico"],"relation":{},"ISSN":["1445-1433","1445-2197"],"issn-type":[{"value":"1445-1433","type":"print"},{"value":"1445-2197","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,8,15]]},"assertion":[{"value":"2025-06-05","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-08-05","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-08-15","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}