Cargando…

Dehydration Status at Admission Predicts Recurrence in Patients with Traumatic Chronic Subdural Hematoma

Objective: There remains a significant risk of chronic subdural hematoma (CSDH) recurring after treatment. Patient-related predictors and surgical procedures have been investigated in many studies. In contrast, the literature remains scant on reports of the potential impact of dehydration on the adm...

Descripción completa

Detalles Bibliográficos
Autores principales: Mainka, Niklas, Borger, Valeri, Hadjiathanasiou, Alexis, Hamed, Motaz, Potthoff, Anna-Laura, Vatter, Hartmut, Schuss, Patrick, Schneider, Matthias
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8911199/
https://www.ncbi.nlm.nih.gov/pubmed/35268269
http://dx.doi.org/10.3390/jcm11051178
_version_ 1784666729876553728
author Mainka, Niklas
Borger, Valeri
Hadjiathanasiou, Alexis
Hamed, Motaz
Potthoff, Anna-Laura
Vatter, Hartmut
Schuss, Patrick
Schneider, Matthias
author_facet Mainka, Niklas
Borger, Valeri
Hadjiathanasiou, Alexis
Hamed, Motaz
Potthoff, Anna-Laura
Vatter, Hartmut
Schuss, Patrick
Schneider, Matthias
author_sort Mainka, Niklas
collection PubMed
description Objective: There remains a significant risk of chronic subdural hematoma (CSDH) recurring after treatment. Patient-related predictors and surgical procedures have been investigated in many studies. In contrast, the literature remains scant on reports of the potential impact of dehydration on the admission of affected patients and on the CSDH recurrence rate. Methods: All consecutively admitted patients with CSDH and surgical treatment at the authors’ institution between 2015 and 2019 were retrospectively identified. Dehydration was assessed as a blood urea/creatinine (U/Cr) ratio > 80. The association between dehydration on admission and postoperative complication rates, in-hospital mortality, and recurrence of CSDH, with the need for additional surgical treatment, was further analyzed. Results: A total of 265 patients with CSDH requiring surgery were identified. In 32 patients (12%), further surgery was necessary due to the recurrence of CSDH. It was found that 9 of the 265 patients with CSDH (3%) suffered from dehydration at the time of admission. Multivariate analysis revealed diabetes mellitus (p = 0.02, OR 2.7, 95% CI 1.2–6.5), a preoperative midline shift > 5 mm (p = 0.003, OR 3.3, 95% CI 1.5–7.5) and dehydration on admission (p = 0.002, OR 10.3, 95% CI 2.4–44.1) as significant and independent predictors for the development of CSDH recurrence that requires surgery. Conclusion: the present findings indicate that dehydration on admission appears to be an independent predictor for CSDH recurrence that requires surgery.
format Online
Article
Text
id pubmed-8911199
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-89111992022-03-11 Dehydration Status at Admission Predicts Recurrence in Patients with Traumatic Chronic Subdural Hematoma Mainka, Niklas Borger, Valeri Hadjiathanasiou, Alexis Hamed, Motaz Potthoff, Anna-Laura Vatter, Hartmut Schuss, Patrick Schneider, Matthias J Clin Med Article Objective: There remains a significant risk of chronic subdural hematoma (CSDH) recurring after treatment. Patient-related predictors and surgical procedures have been investigated in many studies. In contrast, the literature remains scant on reports of the potential impact of dehydration on the admission of affected patients and on the CSDH recurrence rate. Methods: All consecutively admitted patients with CSDH and surgical treatment at the authors’ institution between 2015 and 2019 were retrospectively identified. Dehydration was assessed as a blood urea/creatinine (U/Cr) ratio > 80. The association between dehydration on admission and postoperative complication rates, in-hospital mortality, and recurrence of CSDH, with the need for additional surgical treatment, was further analyzed. Results: A total of 265 patients with CSDH requiring surgery were identified. In 32 patients (12%), further surgery was necessary due to the recurrence of CSDH. It was found that 9 of the 265 patients with CSDH (3%) suffered from dehydration at the time of admission. Multivariate analysis revealed diabetes mellitus (p = 0.02, OR 2.7, 95% CI 1.2–6.5), a preoperative midline shift > 5 mm (p = 0.003, OR 3.3, 95% CI 1.5–7.5) and dehydration on admission (p = 0.002, OR 10.3, 95% CI 2.4–44.1) as significant and independent predictors for the development of CSDH recurrence that requires surgery. Conclusion: the present findings indicate that dehydration on admission appears to be an independent predictor for CSDH recurrence that requires surgery. MDPI 2022-02-22 /pmc/articles/PMC8911199/ /pubmed/35268269 http://dx.doi.org/10.3390/jcm11051178 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Mainka, Niklas
Borger, Valeri
Hadjiathanasiou, Alexis
Hamed, Motaz
Potthoff, Anna-Laura
Vatter, Hartmut
Schuss, Patrick
Schneider, Matthias
Dehydration Status at Admission Predicts Recurrence in Patients with Traumatic Chronic Subdural Hematoma
title Dehydration Status at Admission Predicts Recurrence in Patients with Traumatic Chronic Subdural Hematoma
title_full Dehydration Status at Admission Predicts Recurrence in Patients with Traumatic Chronic Subdural Hematoma
title_fullStr Dehydration Status at Admission Predicts Recurrence in Patients with Traumatic Chronic Subdural Hematoma
title_full_unstemmed Dehydration Status at Admission Predicts Recurrence in Patients with Traumatic Chronic Subdural Hematoma
title_short Dehydration Status at Admission Predicts Recurrence in Patients with Traumatic Chronic Subdural Hematoma
title_sort dehydration status at admission predicts recurrence in patients with traumatic chronic subdural hematoma
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8911199/
https://www.ncbi.nlm.nih.gov/pubmed/35268269
http://dx.doi.org/10.3390/jcm11051178
work_keys_str_mv AT mainkaniklas dehydrationstatusatadmissionpredictsrecurrenceinpatientswithtraumaticchronicsubduralhematoma
AT borgervaleri dehydrationstatusatadmissionpredictsrecurrenceinpatientswithtraumaticchronicsubduralhematoma
AT hadjiathanasioualexis dehydrationstatusatadmissionpredictsrecurrenceinpatientswithtraumaticchronicsubduralhematoma
AT hamedmotaz dehydrationstatusatadmissionpredictsrecurrenceinpatientswithtraumaticchronicsubduralhematoma
AT potthoffannalaura dehydrationstatusatadmissionpredictsrecurrenceinpatientswithtraumaticchronicsubduralhematoma
AT vatterhartmut dehydrationstatusatadmissionpredictsrecurrenceinpatientswithtraumaticchronicsubduralhematoma
AT schusspatrick dehydrationstatusatadmissionpredictsrecurrenceinpatientswithtraumaticchronicsubduralhematoma
AT schneidermatthias dehydrationstatusatadmissionpredictsrecurrenceinpatientswithtraumaticchronicsubduralhematoma