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Clinical outcome of subdural versus subgaleal drain after burr-hole drainage for chronic subdural hematoma

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Název: Clinical outcome of subdural versus subgaleal drain after burr-hole drainage for chronic subdural hematoma
Autoři: Sophie H. Carter, Maud J. de Rooij, Narjes Ahmadian, Anouk de Wit, Albert van der Zwan, Pierre A. J. T. Robe
Přispěvatelé: Precision Imaging Group, Neurochirurgen, Brain, Circulatory Health, Neurochirurgie, Cancer
Zdroj: Acta Neurochir (Wien)
Informace o vydavateli: Springer Science and Business Media LLC, 2024.
Rok vydání: 2024
Témata: Male, Reoperation, Aged, 80 and over, Research, Subdural Space, Middle Aged, Hematoma, Subdural, Chronic/surgery, Trephining/methods, 03 medical and health sciences, Reoperation/statistics & numerical data, Treatment Outcome, Postoperative Complications, 0302 clinical medicine, Recurrence, Drainage/methods, Hematoma, Subdural, Chronic, Trephining, Journal Article, Humans, Drainage, Female, Subdural Space/surgery, Aged, Retrospective Studies
Popis: Background Chronic subdural hematoma (CSDH) is commonly treated by burr-hole drainage with subgaleal or subdural drain insertion, mostly based on surgeon’s preference. We analyzed the recurrence rate and clinical outcomes after burr-hole drainage for CSDH and subdural or subgaleal drain insertion in a single center, retrospective cohort study. Methods 700 cases of burr-hole drainage for CSDH between 2017 and 2022 were included. Subdural drain insertion was compared to subgaleal drain insertion. The primary outcome were the rates of recurrence and reoperation. The secondary outcomes consisted of morbidity, postoperative complications, and mortality. Results Baseline characteristics were comparable. The recurrence and reoperation rate after subdural drainage were respectively 15.3% (38/249) and 9.6% (24/249). The recurrence and reoperation rate after subgaleal drainage were respectively 13.4% (55/409) and 10.8% (44/409). There were no significant associations found in recurrence and reoperation rate between both drain insertions. No differences in morbidity, complication rate and mortality between drain insertion locations was found. Conclusion We found relative equipoise between subdural or subgaleal drain insertion concerning recurrence, reoperation rate or clinical outcome. A large multicenter randomized controlled trial could be designed to further assess the outcomes of subdural and subgaleal drain placement after burr-hole drainage for CSDH.
Druh dokumentu: Article
Other literature type
Popis souboru: application/pdf
Jazyk: English
ISSN: 0942-0940
DOI: 10.1007/s00701-024-06320-7
Přístupová URL adresa: https://pubmed.ncbi.nlm.nih.gov/39482408
https://dspace.library.uu.nl/handle/1874/458782
Rights: CC BY
Přístupové číslo: edsair.doi.dedup.....8cfe38f05c2e8219009a3c91e7132b24
Databáze: OpenAIRE
Popis
Abstrakt:Background Chronic subdural hematoma (CSDH) is commonly treated by burr-hole drainage with subgaleal or subdural drain insertion, mostly based on surgeon’s preference. We analyzed the recurrence rate and clinical outcomes after burr-hole drainage for CSDH and subdural or subgaleal drain insertion in a single center, retrospective cohort study. Methods 700 cases of burr-hole drainage for CSDH between 2017 and 2022 were included. Subdural drain insertion was compared to subgaleal drain insertion. The primary outcome were the rates of recurrence and reoperation. The secondary outcomes consisted of morbidity, postoperative complications, and mortality. Results Baseline characteristics were comparable. The recurrence and reoperation rate after subdural drainage were respectively 15.3% (38/249) and 9.6% (24/249). The recurrence and reoperation rate after subgaleal drainage were respectively 13.4% (55/409) and 10.8% (44/409). There were no significant associations found in recurrence and reoperation rate between both drain insertions. No differences in morbidity, complication rate and mortality between drain insertion locations was found. Conclusion We found relative equipoise between subdural or subgaleal drain insertion concerning recurrence, reoperation rate or clinical outcome. A large multicenter randomized controlled trial could be designed to further assess the outcomes of subdural and subgaleal drain placement after burr-hole drainage for CSDH.
ISSN:09420940
DOI:10.1007/s00701-024-06320-7