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Predictive Factors for Recurrence after Burr-Hole Craniostomy of Chronic Subdural Hematoma

OBJECTIVE: Chronic subdural hematoma is a common and relatively benign disease. However, recurrence is common after surgical treatment, and the recurrence rate varies from 5% to 33%. The aim of this study was to investigate the predictive factors for recurrence of chronic subdural hematoma. METHODS:...

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Autores principales: Kim, Sang Uk, Lee, Dong Hoon, Kim, Young Il, Yang, Seung Ho, Sung, Jae Hoon, Cho, Chul Bum
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Neurosurgical Society 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5678055/
https://www.ncbi.nlm.nih.gov/pubmed/29142630
http://dx.doi.org/10.3340/jkns.2016.1010.003
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author Kim, Sang Uk
Lee, Dong Hoon
Kim, Young Il
Yang, Seung Ho
Sung, Jae Hoon
Cho, Chul Bum
author_facet Kim, Sang Uk
Lee, Dong Hoon
Kim, Young Il
Yang, Seung Ho
Sung, Jae Hoon
Cho, Chul Bum
author_sort Kim, Sang Uk
collection PubMed
description OBJECTIVE: Chronic subdural hematoma is a common and relatively benign disease. However, recurrence is common after surgical treatment, and the recurrence rate varies from 5% to 33%. The aim of this study was to investigate the predictive factors for recurrence of chronic subdural hematoma. METHODS: We analyzed data from 248 patients with chronic subdural hematoma who were treated by burr-hole craniostomy with a closed drainage system for hematoma evacuation in this five-year retrospective study. RESULTS: Thirty-one (12.6%) patients underwent re-operation for recurrence of chronic subdural hematoma. Univariate analysis revealed that anticoagulation (p=0.0279), headache (p=0.0323), and preoperative midline shifting (p=0.0321) showed significant differences with respect to recurrent chronic subdural hematoma. We performed a multivariate logistic regression analysis and found that diabetes mellitus (odds ratio [OR], 2.618; 95% confidence interval [CI], 1.0899–6.2898; p=0.0314), anticoagulation (OR, 6.739; 95% CI, 1.1287–40.2369; p=0.0364), headache (OR, 2.951; 95% CI, 1.1464–7.5964; p=0.0249), and preoperative midline shifting (OR, 1.0838; 95% CI, 1.0040–1.1699; p=0.0391) were independent predictive factors for recurrence of chronic subdural hematoma. CONCLUSION: We showed that diabetes mellitus, anticoagulation, headache, and preoperative midline shifting were independent predictors of recurrence of chronic subdural hematoma.
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spelling pubmed-56780552017-11-15 Predictive Factors for Recurrence after Burr-Hole Craniostomy of Chronic Subdural Hematoma Kim, Sang Uk Lee, Dong Hoon Kim, Young Il Yang, Seung Ho Sung, Jae Hoon Cho, Chul Bum J Korean Neurosurg Soc Clinical Article OBJECTIVE: Chronic subdural hematoma is a common and relatively benign disease. However, recurrence is common after surgical treatment, and the recurrence rate varies from 5% to 33%. The aim of this study was to investigate the predictive factors for recurrence of chronic subdural hematoma. METHODS: We analyzed data from 248 patients with chronic subdural hematoma who were treated by burr-hole craniostomy with a closed drainage system for hematoma evacuation in this five-year retrospective study. RESULTS: Thirty-one (12.6%) patients underwent re-operation for recurrence of chronic subdural hematoma. Univariate analysis revealed that anticoagulation (p=0.0279), headache (p=0.0323), and preoperative midline shifting (p=0.0321) showed significant differences with respect to recurrent chronic subdural hematoma. We performed a multivariate logistic regression analysis and found that diabetes mellitus (odds ratio [OR], 2.618; 95% confidence interval [CI], 1.0899–6.2898; p=0.0314), anticoagulation (OR, 6.739; 95% CI, 1.1287–40.2369; p=0.0364), headache (OR, 2.951; 95% CI, 1.1464–7.5964; p=0.0249), and preoperative midline shifting (OR, 1.0838; 95% CI, 1.0040–1.1699; p=0.0391) were independent predictive factors for recurrence of chronic subdural hematoma. CONCLUSION: We showed that diabetes mellitus, anticoagulation, headache, and preoperative midline shifting were independent predictors of recurrence of chronic subdural hematoma. Korean Neurosurgical Society 2017-11 2017-10-25 /pmc/articles/PMC5678055/ /pubmed/29142630 http://dx.doi.org/10.3340/jkns.2016.1010.003 Text en Copyright © 2017 The Korean Neurosurgical Society This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Clinical Article
Kim, Sang Uk
Lee, Dong Hoon
Kim, Young Il
Yang, Seung Ho
Sung, Jae Hoon
Cho, Chul Bum
Predictive Factors for Recurrence after Burr-Hole Craniostomy of Chronic Subdural Hematoma
title Predictive Factors for Recurrence after Burr-Hole Craniostomy of Chronic Subdural Hematoma
title_full Predictive Factors for Recurrence after Burr-Hole Craniostomy of Chronic Subdural Hematoma
title_fullStr Predictive Factors for Recurrence after Burr-Hole Craniostomy of Chronic Subdural Hematoma
title_full_unstemmed Predictive Factors for Recurrence after Burr-Hole Craniostomy of Chronic Subdural Hematoma
title_short Predictive Factors for Recurrence after Burr-Hole Craniostomy of Chronic Subdural Hematoma
title_sort predictive factors for recurrence after burr-hole craniostomy of chronic subdural hematoma
topic Clinical Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5678055/
https://www.ncbi.nlm.nih.gov/pubmed/29142630
http://dx.doi.org/10.3340/jkns.2016.1010.003
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