Radiological and Clinical Prognostic Factors of Recurrence of Subacute and Chronic Subdural Hematomas
Objectives. To assess characteristic data of patients hospitalized due to subacute subdural hematomas (SSDHs) and chronic subdural hematomas (CSDHs) and to evaluate radiological findings and establish predictors of hematoma recurrence of SSDHs and CSDHs patient populations. Methods. 149 patients wi...
Saved in:
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Vilnius University Press
2023-11-01
|
| Series: | Lietuvos Chirurgija |
| Subjects: | |
| Online Access: | https://www.journals.vu.lt/lietuvos-chirurgija/article/view/33729 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832593244544827392 |
|---|---|
| author | Milda Paliulytė Gytis Šustickas |
| author_facet | Milda Paliulytė Gytis Šustickas |
| author_sort | Milda Paliulytė |
| collection | DOAJ |
| description |
Objectives. To assess characteristic data of patients hospitalized due to subacute subdural hematomas (SSDHs) and chronic subdural hematomas (CSDHs) and to evaluate radiological findings and establish predictors of hematoma recurrence of SSDHs and CSDHs patient populations. Methods. 149 patients with SSDHs and CSDHs who underwent surgery at Kaunas Clinics Neurosurgery Department from 2020 to 2021 were analyzed. Based on recurrence rate, patients were divided into different subtypes based on computer tomography (CT) imaging. Descriptive analysis, hypothesis testing and correlation matrix were performed using Excel spreadsheet and R programming language with the significance at p-value < 0.05. Results. Out of 149 patients, SSDHs and CSDHs were observed in 89 males (59.6%) and 60 (40.3%) females. Mean of the patients age was 71.1±15 years. Dichotomizing results based on recurrence (cut-off value of 25%), 2 groups were made: 1) low reoperation rate –hypodense sedimented (10%), isodense (21.6%), hypodense (22.2%); 2) high reoperation rate – hypodense bridging (26.7%), hypodense trabecular (27.8%), hypodense with acute bleeding (28.6%), hypodense laminar (30%), isodense with acute bleeding (33.3%). Conclusion. It is concluded that based on 25% reoperation rate high-recurrence and low-recurrence chronic subdural hematomas groups were similar in all terms apart from the hematoma thickness (mm), which leads to a fact that radiological appearance of higher recurrence hematomas should be carefully taken into consideration.
|
| format | Article |
| id | doaj-art-15007029e8374002b86ba25defd71941 |
| institution | Kabale University |
| issn | 1392-0995 1648-9942 |
| language | English |
| publishDate | 2023-11-01 |
| publisher | Vilnius University Press |
| record_format | Article |
| series | Lietuvos Chirurgija |
| spelling | doaj-art-15007029e8374002b86ba25defd719412025-01-20T18:14:30ZengVilnius University PressLietuvos Chirurgija1392-09951648-99422023-11-0122410.15388/LietChirur.2023.22(4).2Radiological and Clinical Prognostic Factors of Recurrence of Subacute and Chronic Subdural HematomasMilda Paliulytė0Gytis Šustickas1Lithuanian University of Health SciencesVilnius University, Lithuania; Utena University of Applied Sciences, Lithuania Objectives. To assess characteristic data of patients hospitalized due to subacute subdural hematomas (SSDHs) and chronic subdural hematomas (CSDHs) and to evaluate radiological findings and establish predictors of hematoma recurrence of SSDHs and CSDHs patient populations. Methods. 149 patients with SSDHs and CSDHs who underwent surgery at Kaunas Clinics Neurosurgery Department from 2020 to 2021 were analyzed. Based on recurrence rate, patients were divided into different subtypes based on computer tomography (CT) imaging. Descriptive analysis, hypothesis testing and correlation matrix were performed using Excel spreadsheet and R programming language with the significance at p-value < 0.05. Results. Out of 149 patients, SSDHs and CSDHs were observed in 89 males (59.6%) and 60 (40.3%) females. Mean of the patients age was 71.1±15 years. Dichotomizing results based on recurrence (cut-off value of 25%), 2 groups were made: 1) low reoperation rate –hypodense sedimented (10%), isodense (21.6%), hypodense (22.2%); 2) high reoperation rate – hypodense bridging (26.7%), hypodense trabecular (27.8%), hypodense with acute bleeding (28.6%), hypodense laminar (30%), isodense with acute bleeding (33.3%). Conclusion. It is concluded that based on 25% reoperation rate high-recurrence and low-recurrence chronic subdural hematomas groups were similar in all terms apart from the hematoma thickness (mm), which leads to a fact that radiological appearance of higher recurrence hematomas should be carefully taken into consideration. https://www.journals.vu.lt/lietuvos-chirurgija/article/view/33729chronic subdural hematomaclassificationCT imaginghematoma thicknessindependent predictorsinternal architecture |
| spellingShingle | Milda Paliulytė Gytis Šustickas Radiological and Clinical Prognostic Factors of Recurrence of Subacute and Chronic Subdural Hematomas Lietuvos Chirurgija chronic subdural hematoma classification CT imaging hematoma thickness independent predictors internal architecture |
| title | Radiological and Clinical Prognostic Factors of Recurrence of Subacute and Chronic Subdural Hematomas |
| title_full | Radiological and Clinical Prognostic Factors of Recurrence of Subacute and Chronic Subdural Hematomas |
| title_fullStr | Radiological and Clinical Prognostic Factors of Recurrence of Subacute and Chronic Subdural Hematomas |
| title_full_unstemmed | Radiological and Clinical Prognostic Factors of Recurrence of Subacute and Chronic Subdural Hematomas |
| title_short | Radiological and Clinical Prognostic Factors of Recurrence of Subacute and Chronic Subdural Hematomas |
| title_sort | radiological and clinical prognostic factors of recurrence of subacute and chronic subdural hematomas |
| topic | chronic subdural hematoma classification CT imaging hematoma thickness independent predictors internal architecture |
| url | https://www.journals.vu.lt/lietuvos-chirurgija/article/view/33729 |
| work_keys_str_mv | AT mildapaliulyte radiologicalandclinicalprognosticfactorsofrecurrenceofsubacuteandchronicsubduralhematomas AT gytissustickas radiologicalandclinicalprognosticfactorsofrecurrenceofsubacuteandchronicsubduralhematomas |