TY - JOUR
T1 - Outcomes and recurrence rates in chronic subdural haematoma
AU - Amirjamshidi, A.
AU - Abouzari, M.
AU - Eftekhar, B.
AU - Rashidi, A.
AU - Rezaii, J.
AU - Esfandiari, K.
AU - Shirani, A.
AU - Asadollahi, M.
AU - Aleali, H.
N1 - Copyright:
Copyright 2008 Elsevier B.V., All rights reserved.
PY - 2007/6/1
Y1 - 2007/6/1
N2 - The object of this study was to determine the relationship between outcome (assessed by Glasgow Outcome Scale) and recurrence in chronic subdural haematoma (CSDH). Eighty-two consecutive patients who underwent surgery for CSDH were included in this study. The relationship between the following variables and CSDH recurrence was studied: sex; age; history of trauma; Glasgow Coma Scale (GCS) at the time of admission (stage 1: GCS > 12, stage 2: GCS: 8 - 12, stage 3: GCS < 8); interval between head injury (when a history of trauma was present) and surgery; presence of a midline shift on CT scans; presence of intracranial air 7 days after surgery; haematoma density; haematoma width; presence of brain atrophy; and Glasgow Outcome Scale (GOS, both quantitative and non-quantitative) at the time of discharge. Throughout the analysis, p < 0.05 was considered statistically significant. The results showed lower GCS (p < 0.001), higher GOS (p < 0.001), presence of intracranial air 7 days after surgery (p = 0.002), and a high density haematoma (p < 0.001) were significantly associated with recurrence of CSDH. It was concluded that GOS is related with recurrence in CSDH.
AB - The object of this study was to determine the relationship between outcome (assessed by Glasgow Outcome Scale) and recurrence in chronic subdural haematoma (CSDH). Eighty-two consecutive patients who underwent surgery for CSDH were included in this study. The relationship between the following variables and CSDH recurrence was studied: sex; age; history of trauma; Glasgow Coma Scale (GCS) at the time of admission (stage 1: GCS > 12, stage 2: GCS: 8 - 12, stage 3: GCS < 8); interval between head injury (when a history of trauma was present) and surgery; presence of a midline shift on CT scans; presence of intracranial air 7 days after surgery; haematoma density; haematoma width; presence of brain atrophy; and Glasgow Outcome Scale (GOS, both quantitative and non-quantitative) at the time of discharge. Throughout the analysis, p < 0.05 was considered statistically significant. The results showed lower GCS (p < 0.001), higher GOS (p < 0.001), presence of intracranial air 7 days after surgery (p = 0.002), and a high density haematoma (p < 0.001) were significantly associated with recurrence of CSDH. It was concluded that GOS is related with recurrence in CSDH.
KW - Chronic subdural haematoma
KW - Glasgow Coma Scale
KW - Glasgow Outcome Scale
KW - Recurrence
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U2 - 10.1080/02688690701272232
DO - 10.1080/02688690701272232
M3 - Article
C2 - 17612917
AN - SCOPUS:34447118321
SN - 0268-8697
VL - 21
SP - 272
EP - 275
JO - British Journal of Neurosurgery
JF - British Journal of Neurosurgery
IS - 3
ER -