Clinical characteristics and prognosis of chronic subdural hematoma patients with and, clinical and experimental dermatology, clinical characteristics and prognosis of chronic subdural hemorrhage, clinical characteristics and prognosis of chronic subdural hematoma patients with and without, clinical characteristics and prognosis of chronic subdural haemorrhage, clinical and radiologic correlation, clinical and support options, clinical characteristics and prognosis of kidney, clinical characteristics and prognosis of chronic subdural hematoma patients, clinical characteristics and prognosis of chronic subdural hematoma patients with, clinical characteristics and prognosis of chronic lymphocytic leukemia, clinical characteristics and prognosis of pancreatic cancer, clinical characteristics of down syndrome, clinical characteristics and prognosis of chronic subdural hygroma.
Clinical characteristics and Prognoses of chronic subdural hematoma patients wi th and without head trauma: a retrospective comparative study.
Abstract
Head trauma is considered as the main cause of chronic subdural hematoma (CSDH). However, many patients develop CSDH with no identified cause. Herein, we conduct a comparative study to investigate the differences in clinical characteristics and surgical outcomes of CSDH patients with and without a history of head trauma. We retrospectively reviewed CSDH patients who underwent surgical treatment in our hospital between January 2013 and December 2021. Patients were categorized into a with head trauma (WHT) group and a without head trauma (WOHT) group for comparative analysis. A total of 219 patients were included, 119 (54.3%) cases in the WHT group and 100 (45.7%) cases in the WOHT group. More cancer patients were found in the WOHT group than in the WHT group (P = 0.045). Both at discharge and 6-month follow-up, patients in the WOHT group achieved better clinical outcomes than the WHT group cases (P = 0.025 and 0.034, respectively). Furthermore, ordered multiclass logistic regress ion analyses indicated that a history of head trauma (odds ratio 2.151, 95% confidence interval 1.052-4.386; P = 0.036) was a risk factor significantly related to the unfavorable outcomes at 6-month follow-ups of CSDH. However, we did not find significant differences between the two groups in clinical manifestations, radiological characteristics, postoperative complications, mortality, and recurrence rates. CSDH patients with a history of head trauma may be more susceptible to unfavorable outcomes; thus, they should be carefully evaluated and given more attention during hospitalization and after discharge.
Authors (2) : Chengjun Wang, Cang Liu
Source : World neurosurgery
Article Information
| Year | 2023 |
| Type | Journal Article |
| DOI | 10.1016/j.wneu.2023.12.055 |
| ISSN | 1878-8769 |
| Volume |
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