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Predictive Factors for Recurrence after Burr-Hole Craniostomy of Chronic Subdural Hematoma
| Content Provider | Semantic Scholar |
|---|---|
| Author | Kim, Sang Uk Lee, Dong Hoon Kim, Young Il Yang, Seung Ho Sung, Jae Hoon Cho, Chul Bum |
| Copyright Year | 2017 |
| Abstract | 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. |
| Starting Page | 701 |
| Ending Page | 709 |
| Page Count | 9 |
| File Format | PDF HTM / HTML |
| Alternate Webpage(s) | https://www.jkns.or.kr/upload/pdf/jkns-60-6-701.pdf |
| PubMed reference number | 5678055 |
| Alternate Webpage(s) | https://doi.org/10.3340/jkns.2016.1010.003 |
| DOI | 10.3340/jkns.2016.1010.003 |
| Journal | Journal of Korean Neurosurgical Society |
| Volume Number | 60 |
| Language | English |
| Access Restriction | Open |
| Subject Keyword | Biological Science Disciplines Confidence Intervals Diabetes Mellitus Headache Hematoma Hematoma, Subdural Hematoma, Subdural, Chronic Odds Ratio Patients Recurrent Malignant Neoplasm Repeat Surgery Subdural space |
| Content Type | Text |
| Resource Type | Article |