Staff View: Epidemiological characteristics of 778 patients who underwent surgical drainage of chronic subdural hematomas in Brasília, Brazil

Epidemiological characteristics of 778 patients who underwent surgical drainage of chronic subdural hematomas in Brasília, Brazil

Background: Chronic subdural hematomas (CSDHs) are common in neurosurgical practice. There are no publications that report large series of the epidemiological characteristics of this pathology in Brazil. The purpose is to describe a large series of surgical cases and analyze the epidemiological and...

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Main Authors:	Sousa, Emerson Brandão, Brandão, Laíse Franco de Sousa, Tavares, Cléciton Braga, Borges, Igor B. C., Freire Neto, Nelson G., Kessler, Iruena Moraes
Format:	Artigo
Language:	Inglês
Published:	BioMed Central 2017
Subjects:	Sistema nervoso - cirurgia Epidemiologia Drenagem Hematoma subdural crônico
Online Access:	http://repositorio.unb.br/handle/10482/23929 https://dx.doi.org/10.1186/1471-2482-13-5
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spelling	ir-10482-239292020-09-10T17:17:48Z Epidemiological characteristics of 778 patients who underwent surgical drainage of chronic subdural hematomas in Brasília, Brazil Sousa, Emerson Brandão Brandão, Laíse Franco de Sousa Tavares, Cléciton Braga Borges, Igor B. C. Freire Neto, Nelson G. Kessler, Iruena Moraes Sistema nervoso - cirurgia Epidemiologia Drenagem Hematoma subdural crônico Background: Chronic subdural hematomas (CSDHs) are common in neurosurgical practice. There are no publications that report large series of the epidemiological characteristics of this pathology in Brazil. The purpose is to describe a large series of surgical cases and analyze the epidemiological and clinical characteristics. Methods: We retrospectively analyzed patients with CSDH admitted into Neurosurgical Services at the Hospital de Base do Distrito Federal, Brasília, Brazil from 2006 to 2011. Age, sex, clinical feature, etiology, surgical procedure, side, clinical outcome, and recurrence were reviewed. Statistical tests were used to analyze data, and P < 0.05 was considered statistically significant. Results: The series included 778 patients. There were 643 (82.6%) male patients with a mean age of 64.3 ± 15.9 (range, 14–93) years. The principal symptom was headache (58.9%). The most frequent origin was a fall (282 cases, 36.2%), but the origin remained unclear in 281 (36.1%) patients. Mild head injury occurred in 540 (69.4%) cases. Burr holes with drainage were used as the surgical procedure in 96.5% patients, and 687 (88.3%) patients had a positive outcome. Mortality was 0%. Recurrence was observed in 42 cases. Conclusions: The occurrence of CSDHs is more common in elderly men. Treatment with burr holes and drainage is a simple and safe method for treatment. In our experience, CSDH presents decreased morbidity and mortality. 2017-07-28T15:42:44Z 2017-07-28T15:42:44Z 2013-03-01 Artigo SOUSA, Emerson Brandão et al. Epidemiological characteristics of 778 patients who underwent surgical drainage of chronic subdural hematomas in Brasília, Brazil. BMC Surgery, v. 13, Article 5, 1 mar. 2013. Disponível em: <https://bmcsurg.biomedcentral.com/articles/10.1186/1471-2482-13-5>. Acesso em: 14 jun. 2017. doi: https://bmcsurg.biomedcentral.com/articles/10.1186/1471-2482-13-5. http://repositorio.unb.br/handle/10482/23929 https://dx.doi.org/10.1186/1471-2482-13-5 Inglês Acesso Aberto © 2013 Sousa et al.; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. application/pdf BioMed Central
institution	REPOSITORIO UNB
collection	REPOSITORIO UNB
language	Inglês
topic	Sistema nervoso - cirurgia Epidemiologia Drenagem Hematoma subdural crônico
spellingShingle	Sistema nervoso - cirurgia Epidemiologia Drenagem Hematoma subdural crônico Sousa, Emerson Brandão Brandão, Laíse Franco de Sousa Tavares, Cléciton Braga Borges, Igor B. C. Freire Neto, Nelson G. Kessler, Iruena Moraes Epidemiological characteristics of 778 patients who underwent surgical drainage of chronic subdural hematomas in Brasília, Brazil
description	Background: Chronic subdural hematomas (CSDHs) are common in neurosurgical practice. There are no publications that report large series of the epidemiological characteristics of this pathology in Brazil. The purpose is to describe a large series of surgical cases and analyze the epidemiological and clinical characteristics. Methods: We retrospectively analyzed patients with CSDH admitted into Neurosurgical Services at the Hospital de Base do Distrito Federal, Brasília, Brazil from 2006 to 2011. Age, sex, clinical feature, etiology, surgical procedure, side, clinical outcome, and recurrence were reviewed. Statistical tests were used to analyze data, and P < 0.05 was considered statistically significant. Results: The series included 778 patients. There were 643 (82.6%) male patients with a mean age of 64.3 ± 15.9 (range, 14–93) years. The principal symptom was headache (58.9%). The most frequent origin was a fall (282 cases, 36.2%), but the origin remained unclear in 281 (36.1%) patients. Mild head injury occurred in 540 (69.4%) cases. Burr holes with drainage were used as the surgical procedure in 96.5% patients, and 687 (88.3%) patients had a positive outcome. Mortality was 0%. Recurrence was observed in 42 cases. Conclusions: The occurrence of CSDHs is more common in elderly men. Treatment with burr holes and drainage is a simple and safe method for treatment. In our experience, CSDH presents decreased morbidity and mortality.
format	Artigo
author	Sousa, Emerson Brandão Brandão, Laíse Franco de Sousa Tavares, Cléciton Braga Borges, Igor B. C. Freire Neto, Nelson G. Kessler, Iruena Moraes
author_sort	Sousa, Emerson Brandão
title	Epidemiological characteristics of 778 patients who underwent surgical drainage of chronic subdural hematomas in Brasília, Brazil
title_short	Epidemiological characteristics of 778 patients who underwent surgical drainage of chronic subdural hematomas in Brasília, Brazil
title_full	Epidemiological characteristics of 778 patients who underwent surgical drainage of chronic subdural hematomas in Brasília, Brazil
title_fullStr	Epidemiological characteristics of 778 patients who underwent surgical drainage of chronic subdural hematomas in Brasília, Brazil
title_full_unstemmed	Epidemiological characteristics of 778 patients who underwent surgical drainage of chronic subdural hematomas in Brasília, Brazil
title_sort	epidemiological characteristics of 778 patients who underwent surgical drainage of chronic subdural hematomas in brasília, brazil
publisher	BioMed Central
publishDate	2017
url	http://repositorio.unb.br/handle/10482/23929 https://dx.doi.org/10.1186/1471-2482-13-5
_version_	1680624713017065472
score	13.657419

Epidemiological characteristics of 778 patients who underwent surgical drainage of chronic subdural hematomas in Brasília, Brazil

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