ArticleScientific reports2022
Prognosis of patients with operated chronic subdural hematoma.
Article in Scientific reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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Who cites it
19 citing papers in PubMed.
- Mortality and causes of death after surgery for chronic subdural hematoma: a post hoc study of the FINISH randomized trial.Acta neurochirurgica · 2025Trial
- Can Low-Dose Radiation Therapy Aid in Chronic Subdural Hematoma Management? A Historical Review.Advances in radiation oncology · 2026Review
- Pre-surgery statin use and outcomes in operated chronic subdural haematomas: a nationwide cohort study.Age and ageing · 2026Article
- Radiological mass effect and neurological status are associated with mortality after burr-hole drainage for chronic subdural hematoma: a 10-year cohort study.Neurosurgical review · 2026Article
- Surgical Management of Chronic Subdural Hematomas: An Institutional Analysis of Time to Hematoma Resolution.Neurosurgery practice · 2026Article
- Decision making in chronic subdural haematoma patient referrals in an octogenarian and nonagenarian population - a multi-centre perspective.Irish journal of medical science · 2026Article
- A mechanism underlying dural and subdural fluid disorders: Reframing pathophysiology through the unified transdural-pressure gradient model.Neurosurgical review · 2026Review
- Article
- Age-Related Comparative Study of In-Hospital Mortality, Functional Outcome, and Recurrence in a Large Cohort of Patients Surgically Treated for Chronic Subdural Hematoma.Journal of clinical medicine · 2025Article
- The effect of pre-treatment hematoma size and unilateral vs bilateral MMA embolization on volume reduction in the treatment of chronic subdural hematomas: A retrospective cohort study.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2025Article
- Prognostic significance of systemic inflammation response index, systemic immune-inflammation index and neutrophil-to-lymphocyte ratio in patients with chronic subdural hematoma after burr hole drainage.Frontiers in neurology · 2025Article
- Protocol-based postoperative brain scan after drainage of chronic subdural hematoma in a low-resource setting (ProtoScan study).Surgical neurology international · 2025Article
- Hematologic Indices and Chronic Subdural Hematoma: A Single-Center Cohort Study.Asian journal of neurosurgery · 2024Article
- Prediction model for poor short-term prognosis in patients with chronic subdural hematoma after burr hole drainage: a retrospective cohort study.Neurosurgical review · 2024Article
- Predictors of mortality in chronic subdural hematoma evacuation.Neurosurgical review · 2023Article
- Middle Meningeal Artery Embolization in the Management of Chronic Subdural Hematoma: a Comprehensive Review of Current Literature.Current neurology and neuroscience reports · 2023Review
- In-hospital mortality rates, complication rates, length of stay, and total costs of >14,000 chronic subdural hematomas treated in the U.S. between 2016 and 2020: Query of the premier health-care database.Surgical neurology international · 2022Article
- Frailty-driven anesthesia decisions in recurrent chronic subdural hematoma: Is it time to embrace embolization under local anesthesia?Journal of anaesthesiology, clinical pharmacologyArticle
- Predictors of Neurological Outcome and Recurrence after Standardized Double Burr-hole Evacuation for Chronic Subdural Hematoma.International journal of applied & basic medical researchArticle
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Chronic subdural hematoma (cSDH), previously considered fairly benign and easy to treat, is now viewed a possible sign of incipient clinical decline. We investigated case-fatality, excess fatality and need for reoperations following operated cSDH in a nationwide setting focusing on patient-related characteristics. Finnish nationwide databases were searched for all admissions with operated cSDH as well as later deaths in adults (≥ 16 years) during 2004-2017. There were 8539 patients with an evacuated cSDH (68% men) with a mean age of 73.0 (± 12.8) years. During the follow-up, 3805 (45%) patients died. In-hospital case-fatality was 0.7% (n = 60) and 30-day case-fatality 4.2% (n = 358). The 1-year case-fatality was 14.3% (95% CI = 13.4-15.2%) among men and 15.3% (95% CI = 14.0-16.7%) among women. Comorbidity burden, older age, and alcoholism were significantly associated with fatality. One-year excess fatality rate compared to general Finnish population was 9.1% (95% CI = 8.4-9.9) among men and 10.3% (95% CI = 9.1-11.4) among women. Highest excess fatality was observed in the oldest age group in both genders. Reoperation was needed in 19.4% (n = 1588) of patients. Older age but not comorbidity burden or other patient-related characteristics were associated with increased risk for reoperation. The overall case-fatality and need for reoperations declined during the study era. Comorbidities should be considered when care and follow-up are planned in patients with cSDH. Our findings underpin the perception that the disease is more dangerous than previously thought and causes mortality in all exposed age groups: even a minor burden of comorbidities can be fatal in the post-operative period.
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