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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...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2022
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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 |
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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 |
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