Surgical evacuation for chronic subdural hematoma: Predictors of reoperation and functional outcomes.
Publication/Presentation Date
1-1-2024
Abstract
BACKGROUND: Although chronic subdural hematoma (CSDH) incidence has increased, there is limited evidence to guide patient management after surgical evacuation.
OBJECTIVE: To identify predictors of reoperation and functional outcome after CSDH surgical evacuation.
METHODS: We identified all patients with CSDH between 2010 and 2018. Clinical and radiographic variables were collected from the medical records. Outcomes included reoperation within 90 days and poor (3-6) modified Rankin Scale score at 3 months.
RESULTS: We identified 461 surgically treated CSDH cases (396 patients). The mean age was 70.1 years, 29.7 % were females, 298 (64.6 %) underwent burr hole evacuation, 152 (33.0 %) craniotomy, and 11 (2.4 %) craniectomy. Reoperation rate within 90 days was 12.6 %, whereas 24.2 % of cases had a poor functional status at 3 months. Only female sex was associated with reoperation within 90 days (OR = 2.09, 95 % CI: 1.17-3.75,
CONCLUSION: Careful management of patients with the above predictive factors may reduce CSDH reoperation and improve long-term functional outcomes. However, larger randomized studies are necessary to assess long-term prognosis after surgical evacuation.
Volume
21
First Page
100246
Last Page
100246
ISSN
2590-1397
Published In/Presented At
Sioutas, G. S., Sweid, A., Chen, C. J., Becerril-Gaitan, A., Al Saiegh, F., El Naamani, K., Abbas, R., Amllay, A., Birkenstock, L., Cain, R. E., Ruiz, R. L., Buxbaum, M., Nauheim, D. O., Renslo, B., Bassig, J., Gooch, M. R., Herial, N. A., Jabbour, P., Rosenwasser, R. H., & Tjoumakaris, S. I. (2023). Surgical evacuation for chronic subdural hematoma: Predictors of reoperation and functional outcomes. World neurosurgery: X, 21, 100246. https://doi.org/10.1016/j.wnsx.2023.100246
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
38054079
Department(s)
Administration and Leadership
Document Type
Article