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Burr hole craniostomy versus minicraniotomy in chronic subdural hematoma: a comparative cohort study

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Zolfaghari, S, Bartek, J, Strom, I, Djärf, F, Wong, S-S, Ståhl, N, Jakola, AS & Nittby Redebrandt, H 2021, 'Burr hole craniostomy versus minicraniotomy in chronic subdural hematoma: a comparative cohort study', Acta Neurochirurgica, vol. 163, no. 11, pp. 3217-3223. https://doi.org/10.1007/s00701-021-04902-3

APA

Zolfaghari, S., Bartek, J., Strom, I., Djärf, F., Wong, S-S., Ståhl, N., Jakola, A. S., & Nittby Redebrandt, H. (2021). Burr hole craniostomy versus minicraniotomy in chronic subdural hematoma: a comparative cohort study. Acta Neurochirurgica, 163(11), 3217-3223. https://doi.org/10.1007/s00701-021-04902-3

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Author

Zolfaghari, Shaian ; Bartek, Jiri ; Strom, Isabelle ; Djärf, Felix ; Wong, San-San ; Ståhl, Nils ; Jakola, Asgeir S ; Nittby Redebrandt, Henrietta. / Burr hole craniostomy versus minicraniotomy in chronic subdural hematoma : a comparative cohort study. In: Acta Neurochirurgica. 2021 ; Vol. 163, No. 11. pp. 3217-3223.

Bibtex

@article{1d61b5479abe4197b1a8e958ba5077a3,
title = "Burr hole craniostomy versus minicraniotomy in chronic subdural hematoma: a comparative cohort study",
abstract = "BACKGROUND: Chronic subdural hematoma (CSDH) is one of the most common neurosurgical diseases. In surgical management of CSDH, there is a lack of standardized guidelines concerning surgical techniques and a lack of consensus on which technique(s) are optimal. Neurosurgical centers have shown a wide variation in surgical techniques. The purpose of this study was to compare two different surgical techniques, one burr hole craniostomy with an active subgaleal drain (BHC) and minicraniotomy with a passive subdural drain (MC).METHODS: We conducted a multicenter retrospective cohort study at two neurosurgical centers in Sweden which included patients with unilateral CSDHs that received surgical treatment with either BHC or MC. The primary outcomes in comparison of the techniques were 30-day mortality, recurrence rate, and complications according to the Landriel Iba{\~n}ez grading system for complications.RESULTS: A total of 1003 patients were included in this study. The BHC subgroup included 560 patients, and the MC subgroup included 443 patients. A 30-day mortality when comparing BHC (2.3%) and MC (2.7%) was similar (p = 0.701). Comparing recurrence rate for BHC (8.9%) and MC (10.8%) showed no significant difference (p = 0.336). We found that medical complications were significantly more common in the MC group (p = 0.001). Surgical complications (type IIb) was also associated with the MC group (n = 10, p = 0.003). Out of the 10 patients with type IIb complications in the MC group, 8 had postoperative acute subdural hematomas.CONCLUSIONS: BHC was comparable to MC concerning 30-day mortality rate and recurrence rates. We did, however, find that MC was significantly associated with medical complications and serious surgical postoperative complications.",
keywords = "Complications, CSDH, Outcome, Recurrence, Surgical method",
author = "Shaian Zolfaghari and Jiri Bartek and Isabelle Strom and Felix Dj{\"a}rf and San-San Wong and Nils St{\aa}hl and Jakola, {Asgeir S} and {Nittby Redebrandt}, Henrietta",
note = "{\textcopyright} 2021. The Author(s).",
year = "2021",
month = nov,
doi = "10.1007/s00701-021-04902-3",
language = "English",
volume = "163",
pages = "3217--3223",
journal = "Acta Neurochirurgica",
issn = "0001-6268",
publisher = "Springer Wien",
number = "11",

}

RIS

TY - JOUR

T1 - Burr hole craniostomy versus minicraniotomy in chronic subdural hematoma

T2 - a comparative cohort study

AU - Zolfaghari, Shaian

AU - Bartek, Jiri

AU - Strom, Isabelle

AU - Djärf, Felix

AU - Wong, San-San

AU - Ståhl, Nils

AU - Jakola, Asgeir S

AU - Nittby Redebrandt, Henrietta

N1 - © 2021. The Author(s).

PY - 2021/11

Y1 - 2021/11

N2 - BACKGROUND: Chronic subdural hematoma (CSDH) is one of the most common neurosurgical diseases. In surgical management of CSDH, there is a lack of standardized guidelines concerning surgical techniques and a lack of consensus on which technique(s) are optimal. Neurosurgical centers have shown a wide variation in surgical techniques. The purpose of this study was to compare two different surgical techniques, one burr hole craniostomy with an active subgaleal drain (BHC) and minicraniotomy with a passive subdural drain (MC).METHODS: We conducted a multicenter retrospective cohort study at two neurosurgical centers in Sweden which included patients with unilateral CSDHs that received surgical treatment with either BHC or MC. The primary outcomes in comparison of the techniques were 30-day mortality, recurrence rate, and complications according to the Landriel Ibañez grading system for complications.RESULTS: A total of 1003 patients were included in this study. The BHC subgroup included 560 patients, and the MC subgroup included 443 patients. A 30-day mortality when comparing BHC (2.3%) and MC (2.7%) was similar (p = 0.701). Comparing recurrence rate for BHC (8.9%) and MC (10.8%) showed no significant difference (p = 0.336). We found that medical complications were significantly more common in the MC group (p = 0.001). Surgical complications (type IIb) was also associated with the MC group (n = 10, p = 0.003). Out of the 10 patients with type IIb complications in the MC group, 8 had postoperative acute subdural hematomas.CONCLUSIONS: BHC was comparable to MC concerning 30-day mortality rate and recurrence rates. We did, however, find that MC was significantly associated with medical complications and serious surgical postoperative complications.

AB - BACKGROUND: Chronic subdural hematoma (CSDH) is one of the most common neurosurgical diseases. In surgical management of CSDH, there is a lack of standardized guidelines concerning surgical techniques and a lack of consensus on which technique(s) are optimal. Neurosurgical centers have shown a wide variation in surgical techniques. The purpose of this study was to compare two different surgical techniques, one burr hole craniostomy with an active subgaleal drain (BHC) and minicraniotomy with a passive subdural drain (MC).METHODS: We conducted a multicenter retrospective cohort study at two neurosurgical centers in Sweden which included patients with unilateral CSDHs that received surgical treatment with either BHC or MC. The primary outcomes in comparison of the techniques were 30-day mortality, recurrence rate, and complications according to the Landriel Ibañez grading system for complications.RESULTS: A total of 1003 patients were included in this study. The BHC subgroup included 560 patients, and the MC subgroup included 443 patients. A 30-day mortality when comparing BHC (2.3%) and MC (2.7%) was similar (p = 0.701). Comparing recurrence rate for BHC (8.9%) and MC (10.8%) showed no significant difference (p = 0.336). We found that medical complications were significantly more common in the MC group (p = 0.001). Surgical complications (type IIb) was also associated with the MC group (n = 10, p = 0.003). Out of the 10 patients with type IIb complications in the MC group, 8 had postoperative acute subdural hematomas.CONCLUSIONS: BHC was comparable to MC concerning 30-day mortality rate and recurrence rates. We did, however, find that MC was significantly associated with medical complications and serious surgical postoperative complications.

KW - Complications

KW - CSDH

KW - Outcome

KW - Recurrence

KW - Surgical method

UR - http://www.scopus.com/inward/record.url?scp=85111907407&partnerID=8YFLogxK

U2 - 10.1007/s00701-021-04902-3

DO - 10.1007/s00701-021-04902-3

M3 - Journal article

C2 - 34328561

VL - 163

SP - 3217

EP - 3223

JO - Acta Neurochirurgica

JF - Acta Neurochirurgica

SN - 0001-6268

IS - 11

ER -

ID: 66955878