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Article: Use of subdural drain for chronic subdural haematoma? A 4-year multi-centre observational study of 302 cases

TitleUse of subdural drain for chronic subdural haematoma? A 4-year multi-centre observational study of 302 cases
Authors
KeywordsBurr hole
Chronic subdural haematoma
Elderly trauma
Head injury
Recurrence
Subdural drain
Issue Date2017
Citation
Journal of Clinical Neuroscience, 2017, v. 36, p. 27-30 How to Cite?
AbstractChronic subdural haematoma (CSDH) is a common neurosurgical condition and is more prevalent in the ageing population. Studies have suggested that placement of subdural drains after burr-hole drainage was associated with lower recurrence rates. However, a considerable proportion of surgeons remained unconvinced of the effectiveness of drain placement and concerns exist with the potential complications this additional manoeuvre entails such as infection or bleeding. The aim of the present study is to evaluate the impact of subdural drain on CSDH recurrence and its safety. This is a multicentre observational study. Data of consecutive patients with burr-hole drainage performed for CSDH in three hospitals in Hong Kong during a four-year period from January 2008 to December 2011 were prospectively collected and retrospectively analysed. The primary outcome was symptomatic recurrence requiring re-operation. Secondary outcomes included the modified Rankin scales (mRS), morbidity and mortality at six months. A total of 302 patients were identified. The recurrence rate was 8.72% (13/149) with drain placement versus 16.3% (25/153) with no drain (Odds Ratio = 0.489, 95%CI 0.240–0.998; p = 0.0463). Local wound infection, subdural empyema, acute subdural haematoma and other complications had no significant difference. Six-month mRS, 30-day mortality and six-month mortality were comparable in both groups. In conclusion, the use of subdural drain significantly reduced recurrence with no significant increase in complications.
Persistent Identifierhttp://hdl.handle.net/10722/325339
ISSN
2023 Impact Factor: 1.9
2023 SCImago Journal Rankings: 0.609
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorChan, David Yuen Chung-
dc.contributor.authorWoo, Peter Yat Ming-
dc.contributor.authorMak, Calvin Hoi Kwan-
dc.contributor.authorChu, Alberto Chi Ho-
dc.contributor.authorLi, Charles Churk Hang-
dc.contributor.authorKo, Natalie Man Wai-
dc.contributor.authorNg, Stephanie Chi Ping-
dc.contributor.authorSun, Tin Fung David-
dc.contributor.authorPoon, Wai Sang-
dc.date.accessioned2023-02-27T07:31:40Z-
dc.date.available2023-02-27T07:31:40Z-
dc.date.issued2017-
dc.identifier.citationJournal of Clinical Neuroscience, 2017, v. 36, p. 27-30-
dc.identifier.issn0967-5868-
dc.identifier.urihttp://hdl.handle.net/10722/325339-
dc.description.abstractChronic subdural haematoma (CSDH) is a common neurosurgical condition and is more prevalent in the ageing population. Studies have suggested that placement of subdural drains after burr-hole drainage was associated with lower recurrence rates. However, a considerable proportion of surgeons remained unconvinced of the effectiveness of drain placement and concerns exist with the potential complications this additional manoeuvre entails such as infection or bleeding. The aim of the present study is to evaluate the impact of subdural drain on CSDH recurrence and its safety. This is a multicentre observational study. Data of consecutive patients with burr-hole drainage performed for CSDH in three hospitals in Hong Kong during a four-year period from January 2008 to December 2011 were prospectively collected and retrospectively analysed. The primary outcome was symptomatic recurrence requiring re-operation. Secondary outcomes included the modified Rankin scales (mRS), morbidity and mortality at six months. A total of 302 patients were identified. The recurrence rate was 8.72% (13/149) with drain placement versus 16.3% (25/153) with no drain (Odds Ratio = 0.489, 95%CI 0.240–0.998; p = 0.0463). Local wound infection, subdural empyema, acute subdural haematoma and other complications had no significant difference. Six-month mRS, 30-day mortality and six-month mortality were comparable in both groups. In conclusion, the use of subdural drain significantly reduced recurrence with no significant increase in complications.-
dc.languageeng-
dc.relation.ispartofJournal of Clinical Neuroscience-
dc.subjectBurr hole-
dc.subjectChronic subdural haematoma-
dc.subjectElderly trauma-
dc.subjectHead injury-
dc.subjectRecurrence-
dc.subjectSubdural drain-
dc.titleUse of subdural drain for chronic subdural haematoma? A 4-year multi-centre observational study of 302 cases-
dc.typeArticle-
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1016/j.jocn.2016.10.039-
dc.identifier.pmid27914805-
dc.identifier.scopuseid_2-s2.0-85007384042-
dc.identifier.volume36-
dc.identifier.spage27-
dc.identifier.epage30-
dc.identifier.eissn1532-2653-
dc.identifier.isiWOS:000392567100005-

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