Evidence map›Paper›PMID 41656228›Full record

ArticleBMC surgery2026

Analysis of risk factors for recurrence in septated chronic subdural hematoma.

Xiaoliang Wang, Hongru Feng, Botao Ma, Si Qi, Hailong Du, Chao Zhang, Lei Zhao, Xiaosong Liu, Xiaomeng Liu, Gengshen Zhang and 3 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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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

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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

1 citing paper in PubMed.

  1. Article
4 · The record

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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

13 authors.

Xiaoliang Wang *Department of Neurosurgery, the Second Hospital of Hebei Medical University, Shijiazhuang, 050051, China.
Hongru Feng *Ultrasound Department, the Second Hospital of Hebei Medical University, Shijiazhuang, 050051, China.
Botao Ma *Department of Neurosurgery, the 82nd Group Hospital of PLA Army, Baoding, 071000, China.
Si QiDepartment of Radiology, the Second Hospital of Hebei Medical University, Shijiazhuang, 050051, China.
Hailong DuDepartment of Neurosurgery, the Second Hospital of Hebei Medical University, Shijiazhuang, 050051, China.
Chao ZhangDepartment of Neurosurgery, the Second Hospital of Hebei Medical University, Shijiazhuang, 050051, China.
Lei ZhaoDepartment of Neurosurgery, the Second Hospital of Hebei Medical University, Shijiazhuang, 050051, China.
Xiaosong LiuDepartment of Neurosurgery, the Second Hospital of Hebei Medical University, Shijiazhuang, 050051, China.
Xiaomeng LiuDepartment of Neurosurgery, the Second Hospital of Hebei Medical University, Shijiazhuang, 050051, China.
Gengshen ZhangDepartment of Neurosurgery, the Second Hospital of Hebei Medical University, Shijiazhuang, 050051, China.
Jianliang WuDepartment of Neurosurgery, the Second Hospital of Hebei Medical University, Shijiazhuang, 050051, China.
Yaqing AnEmergency Department, the Second Hospital of Hebei Medical University, Shijiazhuang, 050051, China. 28504171@hebmu.edu.cnn.
Yang WuDepartment of Neurosurgery, the Second Hospital of Hebei Medical University, Shijiazhuang, 050051, China. 28704926@hebmu.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSeptated chronic subdural hematoma (sCSDH), characterized by its multiseptated or multilayered appearance, poses unique therapeutic challenges due to its considerable recurrence rate. This study aimed to estimate the recurrence rate of sCSDH and identify independent risk factors associated with its recurrence.

methodsWe retrospectively analyzed clinical data from consecutive patients with sCSDH who underwent surgical therapy at our institution. Univariate and multivariate logistic regression analyses were performed to identify independent risk factors for sCSDH recurrence.

resultsA total of 137 patients with sCSDH underwent surgical treatment, of whom 32 (23.4%) experienced postoperative recurrence. Univariate analysis demonstrated significant associations between sCSDH recurrence and hematoma density (p < 0.001), separation types (p < 0.001), surgical technique (p = 0.002), and resilience of midline shift at the third postoperative day (p = 0.005). Multivariate logistic regression analysis revealed that hybrid hyper dense and isodense hematomas (p = 0.012, OR = 18.74), multiple septations (p = 0.035, OR = 5.93), and honeycomb septations (p = 0.014, OR = 6.45) were independent risk factors for sCSDH recurrence. Endoscopic-assisted surgery significantly reduced recurrence risk compared to single burr hole drainage (OR = 0.256, p = 0.021), indicating that single burr hole drainage serves as an independent risk factor for recurrence. Notably, endoscopic-assisted surgery demonstrated comparable efficacy to craniotomy. However, after adjusting for confounding factors, no significant correlation was observed between midline shift resilience and recurrence rates (OR = 0.958, p = 0.020).

conclusionHybrid hyper dense and isodense hematomas, honeycomb septations, and single burr hole drainage were identified as independent predictors for sCSDH recurrence.

Indexed as

Hematoma, Subdural, ChronicAdultAgedAged, 80 and overCraniotomyDrainageFemaleHumansMaleMiddle AgedRecurrenceRetrospective StudiesRisk FactorsRecurrenceRisk factorsSeptated chronic subdural hematomaTypes of separation

Identifiers

PMID41656228
PMCPMC12983631

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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.