학술논문
Surgical evacuation for chronic subdural hematoma: Predictors of reoperation and functional outcomes
Document Type
article
Author
Georgios S. Sioutas; Ahmad Sweid; Ching-Jen Chen; Andrea Becerril-Gaitan; Fadi Al Saiegh; Kareem El Naamani; Rawad Abbas; Abdelaziz Amllay; Lyena Birkenstock; Rachel E. Cain; Ramon L. Ruiz; Michael Buxbaum; David O. Nauheim; Bryan Renslo; Jonathan Bassig; M. Reid Gooch; Nabeel A. Herial; Pascal Jabbour; Robert H. Rosenwasser; Stavropoula I. Tjoumakaris
Source
World Neurosurgery: X, Vol 21, Iss , Pp 100246- (2024)
Subject
Language
English
ISSN
2590-1397
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, P = 0.013). AMS on admission (OR = 5.19, 95 % CI: 2.15–12.52, P