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Prognosis of patients with operated chronic subdural hematoma

Kytö Ville; Posti Jussi P.; Rautava Paivi; Luoto Teemu M.; Sipilä Jussi O. T.

dc.contributor.authorKytö Ville
dc.contributor.authorPosti Jussi P.
dc.contributor.authorRautava Paivi
dc.contributor.authorLuoto Teemu M.
dc.contributor.authorSipilä Jussi O. T.
dc.date.accessioned2022-10-28T14:08:43Z
dc.date.available2022-10-28T14:08:43Z
dc.identifier.urihttps://www.utupub.fi/handle/10024/169627
dc.description.abstractChronic 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.
dc.language.isoen
dc.publisherNATURE PORTFOLIO
dc.titlePrognosis of patients with operated chronic subdural hematoma
dc.identifier.urlhttps://www.nature.com/articles/s41598-022-10992-5
dc.identifier.urnURN:NBN:fi-fe2022081154844
dc.relation.volume12
dc.contributor.organizationfi=sydäntutkimuskeskus|en=Research Centre of Applied and Preventive Cardiovascular Medicine (CAPC)|
dc.contributor.organizationfi=sisätautioppi|en=Internal Medicine|
dc.contributor.organizationfi=tyks, vsshp|en=tyks, vsshp|
dc.contributor.organizationfi=kliinisen laitoksen yhteiset|en=Department of Clinical Medicine|
dc.contributor.organizationfi=väestötutkimuskeskus|en=Centre for Population Health Research (POP Centre)|
dc.contributor.organizationfi=kansanterveystiede|en=Public Health|
dc.contributor.organizationfi=kliiniset neurotieteet|en=Clinical Neurosciences|
dc.contributor.organization-code2607318
dc.contributor.organization-code2607300
dc.contributor.organization-code2607008
dc.contributor.organization-code2607307
dc.contributor.organization-code2607004
dc.contributor.organization-code2607314
dc.converis.publication-id175466633
dc.converis.urlhttps://research.utu.fi/converis/portal/Publication/175466633
dc.identifier.eissn2045-2322
dc.identifier.jour-issn2045-2322
dc.okm.affiliatedauthorPosti, Jussi
dc.okm.affiliatedauthorKytö, Ville
dc.okm.affiliatedauthorDataimport, tyks, vsshp
dc.okm.affiliatedauthorSipilä, Jussi
dc.okm.affiliatedauthorRautava, Päivi
dc.okm.discipline3141 Health care scienceen_GB
dc.okm.discipline3121 Internal medicineen_GB
dc.okm.discipline3121 Sisätauditfi_FI
dc.okm.discipline3141 Terveystiedefi_FI
dc.okm.internationalcopublicationnot an international co-publication
dc.okm.internationalityInternational publication
dc.okm.typeJournal article
dc.publisher.countryUnited Kingdomen_GB
dc.publisher.countryBritanniafi_FI
dc.publisher.country-codeGB
dc.relation.articlenumber7020
dc.relation.doi10.1038/s41598-022-10992-5
dc.relation.ispartofjournalScientific Reports
dc.relation.issue1
dc.year.issued2022


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