Universität zu Köln

Stavrinou, Pantelis ORCID: 0000-0001-8653-1395, Katsigiannis, Sotirios, Lee, Jong Hun, Hamisch, Christina, Krischek, Boris, Mpotsaris, Anastasios ORCID: 0000-0002-1275-8164, Timmer, Marco and Goldbrunner, Roland (2017). Risk Factors for Chronic Subdural Hematoma Recurrence Identified Using Quantitative Computed Tomography Analysis of Hematoma Volume and Density. World Neurosurg., 99. S. 465 - 471. NEW YORK: ELSEVIER SCIENCE INC. ISSN 1878-8769

Full text not available from this repository.

Abstract

OBJECTIVE: Chronic subdural hematoma (CSDH), a common condition in elderly patients, presents a therapeutic challenge with recurrence rates of 33%. We aimed to identify specific prognostic factors for recurrence using quantitative analysis of hematoma volume and density. METHODS: We retrospectively reviewed radiographic and clinical data of 227 CSDHs in 195 consecutive patients who underwent evacuation of the hematoma through a single burr hole, 2 burr holes, or a mini-craniotomy. To examine the relationship between hematoma recurrence and various clinical, radiologic, and surgical factors, we used quantitative image-based analysis to measure the hematoma and trapped air volumes and the hematoma densities. RESULTS: Recurrence of CSDH occurred in 35 patients (17.9%). Multivariate logistic regression analysis revealed that the percentage of hematoma drained and postoperative CSDH density were independent risk factors for recurrence. All 3 evacuation methods were equally effective in draining the hematoma (71.7% vs. 73.7% vs. 71.9%) without observable differences in postoperative air volume captured in the subdural space. CONCLUSIONS: Quantitative image analysis provided evidence that percentage of hematoma drained and post-operative CSDH density are independent prognostic factors for subdural hematoma recurrence.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Stavrinou, Pantelis UNSPECIFIED orcid.org/0000-0001-8653-1395 UNSPECIFIED Katsigiannis, Sotirios UNSPECIFIED UNSPECIFIED UNSPECIFIED Lee, Jong Hun UNSPECIFIED UNSPECIFIED UNSPECIFIED Hamisch, Christina UNSPECIFIED UNSPECIFIED UNSPECIFIED Krischek, Boris UNSPECIFIED UNSPECIFIED UNSPECIFIED Mpotsaris, Anastasios UNSPECIFIED orcid.org/0000-0002-1275-8164 UNSPECIFIED Timmer, Marco UNSPECIFIED UNSPECIFIED UNSPECIFIED Goldbrunner, Roland UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-239391
DOI:	10.1016/j.wneu.2016.12.058
Journal or Publication Title:	World Neurosurg.
Volume:	99
Page Range:	S. 465 - 471
Date:	2017
Publisher:	ELSEVIER SCIENCE INC
Place of Publication:	NEW YORK
ISSN:	1878-8769
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language POSTOPERATIVE RECURRENCE; INDEPENDENT PREDICTORS; METAANALYSIS; DRAINAGE Multiple languages Clinical Neurology; Surgery Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/23939