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Drains Result in Greater Reduction of Subdural Width and Midline Shift in Burr Hole Evacuation of Chronic Subdural Haematoma by Laurence Johann Glancz; on behalf of the British Neurosurgical Trainee Research Collaborative (BNTRC); Michael Tin Chung Poon; Peter John Hutchinson; Angelos Georgiou Kolias; Paul Martin Brennan is a Medicine article available to read on EtoBox.
What is Drains Result in Greater Reduction of Subdural Width and Midline Shift in Burr Hole Evacuation of Chronic Subdural Haematoma about?
## Background Drain insertion following chronic subdural haematoma (CSDH) evacuation reduces recurrence and improves outcomes. The mechanism of this improvement is uncertain. We assessed whether drains result in improved postoperative imaging, and which radiological factors are associated with recurrence and functional outcome. ## Methods A multi-centre, prospective cohort study of CSDH patients was performed between May 2013 and January 2014. Patients aged > 16 years undergoing burr hole evacuation of primary CSDH with pre- and postoperative imaging were included in this subgroup analysis. Baseline and clinical details were collected. Pre- and postoperative maximal subdural width and midline shift (MLS) along with clot density were recorded. Primary outcomes comprised mRS at discharge and symptomatic recurrence requiring re-drainage. Comparisons were made using multiple logistic regression. ## Results Three hundred nineteen patients were identified for inclusion. Two hundred seventy-two of 319 (85%) patients underwent drain insertion at the time of surgery versus 45/319 (14%) who did not. Twenty-nine of 272 patients who underwent drain insertion experienced recurrence (10.9%) vers
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- Author
- Laurence Johann Glancz; on behalf of the British Neurosurgical Trainee Research Collaborative (BNTRC); Michael Tin Chung Poon; Peter John Hutchinson; Angelos Georgiou Kolias; Paul Martin Brennan
- Publisher
- Springer Vienna; Springer-Verlag; Springer Verlag; Springer Science and Business Media LLC; Society for Mining, Metallurgy and Exploration Inc. (ISSN 0001-6268)
- Published
- 2020
- Language
- EN
- Field
- Medicine (Health Sciences)