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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:...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Korean Neurosurgical Society
2017
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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. |
format | Online Article Text |
id | pubmed-5678055 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Korean Neurosurgical Society |
record_format | MEDLINE/PubMed |
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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