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Correlation between Head Trauma and Outcome of Chronic Subdural Hematoma

OBJECTIVE: Our study examined the prognostic factors involved in the outcome of patients with chronic subdural hematoma (CSDH) who had undergone burr hole drainage procedures, and investigated the association between outcome and traumatic head injury. In addition, we explored factors related to recu...

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Autores principales: Kim, Dong Han, Park, Eun Suk, Kim, Min Soo, Park, Sung Ho, Park, Jun Bum, Kwon, Soon Chan, Lyo, In Uk, Sim, Hong Bo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Neurotraumatology Society 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5110926/
https://www.ncbi.nlm.nih.gov/pubmed/27857915
http://dx.doi.org/10.13004/kjnt.2016.12.2.94
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author Kim, Dong Han
Park, Eun Suk
Kim, Min Soo
Park, Sung Ho
Park, Jun Bum
Kwon, Soon Chan
Lyo, In Uk
Sim, Hong Bo
author_facet Kim, Dong Han
Park, Eun Suk
Kim, Min Soo
Park, Sung Ho
Park, Jun Bum
Kwon, Soon Chan
Lyo, In Uk
Sim, Hong Bo
author_sort Kim, Dong Han
collection PubMed
description OBJECTIVE: Our study examined the prognostic factors involved in the outcome of patients with chronic subdural hematoma (CSDH) who had undergone burr hole drainage procedures, and investigated the association between outcome and traumatic head injury. In addition, we explored factors related to recurrence. METHODS: This study enrolled 238 patients with CSDH who had undergone burr hole drainage. Patients with history of head injury were categorized into the head trauma group and were compared with the no head trauma group. Outcome was considered good when modified Rankin Scale scores improved from admission to discharge and the final follow-up. RESULTS: Among 238 patients, 127 (53.4%) were included in the head trauma group. One hundred thirty-three (55.9%) patients demonstrated good outcome at discharge, and 171 (71.8%) patients demonstrated good outcome at the final follow-up. None of the factors examined was significantly correlated with good outcome at discharge. However, only history of head injury (p=0.033, odds ratio 0.511, 95% confidence interval 0.277-0.946) was significantly correlated with poor outcome at long-term follow-up. Recurrence occurred in 20 (8.4%) cases in the total cohort and 11 (55%) patients in the head trauma group. CONCLUSION: History of head trauma is correlated with poor outcome at long-term follow-up in CSDH patients having undergone burr hole drainage. Therefore, CSDH patients with history of head injury are susceptible to poor outcome, warranting more careful evaluation and treatment after burr hole drainage.
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spelling pubmed-51109262016-11-17 Correlation between Head Trauma and Outcome of Chronic Subdural Hematoma Kim, Dong Han Park, Eun Suk Kim, Min Soo Park, Sung Ho Park, Jun Bum Kwon, Soon Chan Lyo, In Uk Sim, Hong Bo Korean J Neurotrauma Clinical Article OBJECTIVE: Our study examined the prognostic factors involved in the outcome of patients with chronic subdural hematoma (CSDH) who had undergone burr hole drainage procedures, and investigated the association between outcome and traumatic head injury. In addition, we explored factors related to recurrence. METHODS: This study enrolled 238 patients with CSDH who had undergone burr hole drainage. Patients with history of head injury were categorized into the head trauma group and were compared with the no head trauma group. Outcome was considered good when modified Rankin Scale scores improved from admission to discharge and the final follow-up. RESULTS: Among 238 patients, 127 (53.4%) were included in the head trauma group. One hundred thirty-three (55.9%) patients demonstrated good outcome at discharge, and 171 (71.8%) patients demonstrated good outcome at the final follow-up. None of the factors examined was significantly correlated with good outcome at discharge. However, only history of head injury (p=0.033, odds ratio 0.511, 95% confidence interval 0.277-0.946) was significantly correlated with poor outcome at long-term follow-up. Recurrence occurred in 20 (8.4%) cases in the total cohort and 11 (55%) patients in the head trauma group. CONCLUSION: History of head trauma is correlated with poor outcome at long-term follow-up in CSDH patients having undergone burr hole drainage. Therefore, CSDH patients with history of head injury are susceptible to poor outcome, warranting more careful evaluation and treatment after burr hole drainage. Korean Neurotraumatology Society 2016-10 2016-10-31 /pmc/articles/PMC5110926/ /pubmed/27857915 http://dx.doi.org/10.13004/kjnt.2016.12.2.94 Text en Copyright © 2016 Korean Neurotraumatology Society http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Clinical Article
Kim, Dong Han
Park, Eun Suk
Kim, Min Soo
Park, Sung Ho
Park, Jun Bum
Kwon, Soon Chan
Lyo, In Uk
Sim, Hong Bo
Correlation between Head Trauma and Outcome of Chronic Subdural Hematoma
title Correlation between Head Trauma and Outcome of Chronic Subdural Hematoma
title_full Correlation between Head Trauma and Outcome of Chronic Subdural Hematoma
title_fullStr Correlation between Head Trauma and Outcome of Chronic Subdural Hematoma
title_full_unstemmed Correlation between Head Trauma and Outcome of Chronic Subdural Hematoma
title_short Correlation between Head Trauma and Outcome of Chronic Subdural Hematoma
title_sort correlation between head trauma and outcome of chronic subdural hematoma
topic Clinical Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5110926/
https://www.ncbi.nlm.nih.gov/pubmed/27857915
http://dx.doi.org/10.13004/kjnt.2016.12.2.94
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