Evidence map›Paper›PMID 32494371›Full record

ArticleSurgical neurology international2020

Burr hole drainage without irrigation for chronic subdural hematoma.

Hiroshi Uda, Alhusain Nagm, Tsutomu Ichinose, Yohei Onishi, Masaki Yoshimura, Takashi Tsuruno, Kenji Ohata

Open access · hybridAbstract read
In one paragraph

Article in Surgical neurology international, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.1field-weighted citation impact, top 19% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 15 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 2 countries.

Hiroshi UdaDepartment of Neurosurgery, Osaka City University Graduate School of Medicine, 1-4-3 Asahimachi, Abenoku.
Alhusain NagmDepartment of Neurosurgery, Osaka City University Graduate School of Medicine, 1-4-3 Asahimachi, Abenoku.
Tsutomu IchinoseDepartment of Neurosurgery, Osaka City University Graduate School of Medicine, 1-4-3 Asahimachi, Abenoku.
Yohei OnishiDepartment of Neurosurgery, Yao Tokushukai General Hospital, 1-11 Wakakusa-Cho, Yao, Osaka, Japan.
Masaki YoshimuraDepartment of Neurosurgery, Yao Tokushukai General Hospital, 1-11 Wakakusa-Cho, Yao, Osaka, Japan.
Takashi TsurunoDepartment of Neurosurgery, Yao Tokushukai General Hospital, 1-11 Wakakusa-Cho, Yao, Osaka, Japan.
Kenji OhataDepartment of Neurosurgery, Osaka City University Graduate School of Medicine, 1-4-3 Asahimachi, Abenoku.
Yao Tokushukai General Hospital · JPOsaka City University · JPAl-Azhar University · EG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChronic subdural hematoma (CSDH) is one of the most common neurosurgical conditions, with different strategies for treatment. Most recent trials favor the use of drainage to reduce the recurrence rate. However, few reports have discussed the efficacy of burr hole drainage without irrigation for treating CSDH. This study aimed to examine the efficacy of burr hole drainage without irrigation in a series of 385 symptomatic CSDH lesions.

methodsThis retrospective study included a series of 385 symptomatic CSDH lesions in 309 patients, who underwent burr hole drainage without irrigation, between September 2009 and August 2017 at the Department of Neurosurgery, Yao Tokushukai General Hospital, Japan. The risk of recurrence was evaluated based on the patients' age, sex, preoperative magnetic resonance imaging (MRI) findings, preoperative anticoagulants, hematoma drainage rate, and bilaterality.

resultsOf the 385 lesions, 41 cases (16 with inadequate follow-up periods and 25 with contraindications for MRI) were excluded from the analysis. The overall recurrence rate in the index study was 4.9% (17/344 lesions). The effects of the preoperative hematoma volume and nonhyperintensity on T1-weighted imaging on the recurrence rate were significant.

conclusionOur findings indicated that burr hole drainage without irrigation is a good surgical modality in patients with CSDH, and preoperative MRI findings can evaluate the risk of recurrence.

Indexed as

Burr holeChronic subdural hematomaDrainage without irrigationMagnetic resonance imagingRisk factors

Identifiers

PMID32494371
PMCPMC7265465
OpenAlexW3023856328

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.