Evidence map›Paper›PMID 40469361›Full record

ArticleSurgical neurology international2025

Chronic subdural hematoma: Clinical experience and recurrence risk factors in a Mexican neurosurgery residency training program.

Aurelio Ponce-Ayala, José de Jesús Gutiérrez-Baños, Rafael Mendizabal-Guerra, Mauricio Ivan Rodriguez-Pereira, Juan Carrizales-Rodriguez

Abstract read
In one paragraph

Article in Surgical neurology international, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Review
  2. Review
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

5 authors.

Aurelio Ponce-AyalaDepartment of Neurosurgery and Spine Surgery, Centennial Hospital, Miguel Hidalgo, Aguascalientes, Mexico.
José de Jesús Gutiérrez-BañosDepartment of Endovascular Neurosurgery, October 1st Regional Hospital, ISSSTE, Mexico City, Mexico.
Rafael Mendizabal-GuerraDepartment of Neurosurgery, Juarez Hospital of Mexico, Mexico City, Mexico.
Mauricio Ivan Rodriguez-PereiraDepartment of Pediatric Neurosurgery, October 1st Regional Hospital, ISSSTE, Mexico City, Mexico.
Juan Carrizales-RodriguezDepartment of Neurosurgery, Juarez Hospital of Mexico, Mexico City, Mexico.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Chronic subdural hematoma (CSDH) recurrence remains a challenge, with risk factors still debated. Methods: A retrospective review of 185 CSDH cases surgically treated at Hospital Juárez de México (2014-2019) was conducted. Recurrence was defined as clinical deterioration with radiological re-expansion. Demographic, clinical, imaging and perioperative variables were analyzed statistically ( Results: The cohort included 145 males (78.4%) median age of 55 years. Head trauma was present in 75.7%. Hematomas were mostly chronic (69.2%), with 49.18% showing heterogeneous density. The surgical approaches used were single burr-hole (4.3%), double burr-hole (10.8%), and craniotomy (84.9%). Recurrence occurred in 16 cases (8.4%), primarily within a week. The significant risk factors for recurrence included thrombocytopenia (<130,000/uL, Conclusion: Thrombocytopenia and coagulopathy increase recurrence risk in CSDH. Craniotomy may reduce recurrence compared to burr-hole techniques. Further studies are needed to optimize surgical management.

Indexed as

Chronic subdural hematomaComputed tomographyPartial thromboplastin timePlatelet countProthrombin time

Identifiers

PMID40469361
PMCPMC12134858

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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.