J Korean Neurosurg Soc.  2017 Nov;60(6):701-709. 10.3340/jkns.2016.1010.003.

Predictive Factors for Recurrence after Burr-Hole Craniostomy of Chronic Subdural Hematoma

• Kim SU
• Lee DH
• Kim YI
• Yang SH
• Sung JH
• Cho CB

• KMID: 2395790
• DOI: http://doi.org/10.3340/jkns.2016.1010.003

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.

Keyword

Recurrence; Hematoma; Subdural; Chronic; Multivariate analysis

MeSH Terms

Diabetes Mellitus
Drainage
Headache
Hematoma
Hematoma, Subdural, Chronic*
Humans
Logistic Models
Multivariate Analysis
Recurrence*
Retrospective Studies

Reference

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