Prediction of Risk Factors for the Evolution of Traumatic Subdural Effusion into Chronic Subdural Hematoma

Sansong Chen,1 Hui Peng,2 Xuefei Shao,1 Lin Yao,1 Jie Liu,1 Jiongping Tian,1 Lean Sun,1 Yi Dai,1 Xiaochun Jiang,1,* Limin Cheng3,* 1Department of Neurosurgery, The First Affiliated Hospital of Wannan Medical College (Yijishan Hospital), Wuhu 241001, Anhui, People’s Republic of China; 2Admi...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Chen S, Peng H, Shao X, Yao L, Liu J, Tian J, Sun L, Dai Y, Jiang X, Cheng L
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2020
Materias:	tse csdh evolution risk factors Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/70f7e5c8ff354a7ea9c98ccb718886b2
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:70f7e5c8ff354a7ea9c98ccb718886b2
record_format	dspace
spelling	oai:doaj.org-article:70f7e5c8ff354a7ea9c98ccb718886b22021-12-02T11:22:34ZPrediction of Risk Factors for the Evolution of Traumatic Subdural Effusion into Chronic Subdural Hematoma1178-2021https://doaj.org/article/70f7e5c8ff354a7ea9c98ccb718886b22020-04-01T00:00:00Zhttps://www.dovepress.com/prediction-of-risk-factors-for-the-evolution-of-traumatic-subdural-eff-peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021Sansong Chen,1 Hui Peng,2 Xuefei Shao,1 Lin Yao,1 Jie Liu,1 Jiongping Tian,1 Lean Sun,1 Yi Dai,1 Xiaochun Jiang,1,* Limin Cheng3,* 1Department of Neurosurgery, The First Affiliated Hospital of Wannan Medical College (Yijishan Hospital), Wuhu 241001, Anhui, People’s Republic of China; 2Administration Office of Hospital Admission and Discharge, The First Affiliated Hospital of Wannan Medical College (Yijishan Hospital), Wuhu 241001, Anhui, People’s Republic of China; 3Morphology Experiment & Training Center, School of Preclinical Medicine, Wannan Medical College, Wuhu 241002, Anhui, People’s Republic of China*These authors contributed equally to this workCorrespondence: Xiaochun JiangDepartment of Neurosurgery, The First Affiliated Hospital of Wannan Medical College (Yijishan Hospital), Wuhu 241001, Anhui, People’s Republic of ChinaEmail jiangxiaochun2001@hotmail.comLimin ChengMorphology Experiment & Training Center, School of Preclinical Medicine, Wannan Medical College, Wuhu 241002, Anhui, People’s Republic of ChinaEmail 630336548@qq.comPurpose: To explore the risk factors of the evolution of traumatic subdural effusion (TSE) into chronic subdural hematoma (CSDH).Materials and Methods: The 70 patients’ gender, age, location of effusion, unilateral and bilateral, Glasgow coma score (GCS) at admission, presence or absence of brain contusion, the time of effusion appeared, daily amount of mannitol, mannitol number of days used, with or without atorvastatin calcium tablets, with or without antiplatelet aggregation drugs, with or without anticoagulant drugs, with or without abnormalities in blood coagulation routines, computed tomography (CT) layer height, the thickness, and CT value of the first effusion were analyzed by single factor. Logistic multivariate regression analysis was performed on the statistically significant indicators. Power of the regression model was evaluated using receiver operating characteristic (ROC) curve.Results: Univariate analysis showed that the presence or absence of brain contusion, the time of effusion appeared, atorvastatin calcium tablets use or not, the CT value of the effusion, and TSE into CSDH evolution varied significantly compared to the non-evolved group (P< 0.05). Logistic multivariate regression analysis showed that combined brain contusion (odds ratio (OR)=16.247, 95% confidence interval (CI), 1.831– 144.157, P = 0.012), early onset of effusion (OR = 0.573, 95% CI: 0.349– 0.941, P = 0.028), atorvastatin calcium tablets not used after effusion (OR = 60.028, 95% CI: 6.103– 590.399, P = 0.0001), and high CT value (OR = 1.285, 95% CI: 1.067– 1.547, P = 0.008) were risk factors for the evolution of TSE into CSDH. The ROC model suggested that the prediction of these risk factors had high diagnostic accuracy.Conclusion: TSE patients with brain contusion, early onset of effusion, without the usage of atorvastatin calcium tablets after effusion, and high CT value of the first effusion are at a risk of evolving into CSDH.Keywords: TSE, CSDH, evolution, risk factorsChen SPeng HShao XYao LLiu JTian JSun LDai YJiang XCheng LDove Medical Pressarticletsecsdhevolutionrisk factorsNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol Volume 16, Pp 943-948 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	tse csdh evolution risk factors Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
spellingShingle	tse csdh evolution risk factors Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 Chen S Peng H Shao X Yao L Liu J Tian J Sun L Dai Y Jiang X Cheng L Prediction of Risk Factors for the Evolution of Traumatic Subdural Effusion into Chronic Subdural Hematoma
description	Sansong Chen,1 Hui Peng,2 Xuefei Shao,1 Lin Yao,1 Jie Liu,1 Jiongping Tian,1 Lean Sun,1 Yi Dai,1 Xiaochun Jiang,1,* Limin Cheng3,* 1Department of Neurosurgery, The First Affiliated Hospital of Wannan Medical College (Yijishan Hospital), Wuhu 241001, Anhui, People’s Republic of China; 2Administration Office of Hospital Admission and Discharge, The First Affiliated Hospital of Wannan Medical College (Yijishan Hospital), Wuhu 241001, Anhui, People’s Republic of China; 3Morphology Experiment & Training Center, School of Preclinical Medicine, Wannan Medical College, Wuhu 241002, Anhui, People’s Republic of China*These authors contributed equally to this workCorrespondence: Xiaochun JiangDepartment of Neurosurgery, The First Affiliated Hospital of Wannan Medical College (Yijishan Hospital), Wuhu 241001, Anhui, People’s Republic of ChinaEmail jiangxiaochun2001@hotmail.comLimin ChengMorphology Experiment & Training Center, School of Preclinical Medicine, Wannan Medical College, Wuhu 241002, Anhui, People’s Republic of ChinaEmail 630336548@qq.comPurpose: To explore the risk factors of the evolution of traumatic subdural effusion (TSE) into chronic subdural hematoma (CSDH).Materials and Methods: The 70 patients’ gender, age, location of effusion, unilateral and bilateral, Glasgow coma score (GCS) at admission, presence or absence of brain contusion, the time of effusion appeared, daily amount of mannitol, mannitol number of days used, with or without atorvastatin calcium tablets, with or without antiplatelet aggregation drugs, with or without anticoagulant drugs, with or without abnormalities in blood coagulation routines, computed tomography (CT) layer height, the thickness, and CT value of the first effusion were analyzed by single factor. Logistic multivariate regression analysis was performed on the statistically significant indicators. Power of the regression model was evaluated using receiver operating characteristic (ROC) curve.Results: Univariate analysis showed that the presence or absence of brain contusion, the time of effusion appeared, atorvastatin calcium tablets use or not, the CT value of the effusion, and TSE into CSDH evolution varied significantly compared to the non-evolved group (P< 0.05). Logistic multivariate regression analysis showed that combined brain contusion (odds ratio (OR)=16.247, 95% confidence interval (CI), 1.831– 144.157, P = 0.012), early onset of effusion (OR = 0.573, 95% CI: 0.349– 0.941, P = 0.028), atorvastatin calcium tablets not used after effusion (OR = 60.028, 95% CI: 6.103– 590.399, P = 0.0001), and high CT value (OR = 1.285, 95% CI: 1.067– 1.547, P = 0.008) were risk factors for the evolution of TSE into CSDH. The ROC model suggested that the prediction of these risk factors had high diagnostic accuracy.Conclusion: TSE patients with brain contusion, early onset of effusion, without the usage of atorvastatin calcium tablets after effusion, and high CT value of the first effusion are at a risk of evolving into CSDH.Keywords: TSE, CSDH, evolution, risk factors
format	article
author	Chen S Peng H Shao X Yao L Liu J Tian J Sun L Dai Y Jiang X Cheng L
author_facet	Chen S Peng H Shao X Yao L Liu J Tian J Sun L Dai Y Jiang X Cheng L
author_sort	Chen S
title	Prediction of Risk Factors for the Evolution of Traumatic Subdural Effusion into Chronic Subdural Hematoma
title_short	Prediction of Risk Factors for the Evolution of Traumatic Subdural Effusion into Chronic Subdural Hematoma
title_full	Prediction of Risk Factors for the Evolution of Traumatic Subdural Effusion into Chronic Subdural Hematoma
title_fullStr	Prediction of Risk Factors for the Evolution of Traumatic Subdural Effusion into Chronic Subdural Hematoma
title_full_unstemmed	Prediction of Risk Factors for the Evolution of Traumatic Subdural Effusion into Chronic Subdural Hematoma
title_sort	prediction of risk factors for the evolution of traumatic subdural effusion into chronic subdural hematoma
publisher	Dove Medical Press
publishDate	2020
url	https://doaj.org/article/70f7e5c8ff354a7ea9c98ccb718886b2
work_keys_str_mv	AT chens predictionofriskfactorsfortheevolutionoftraumaticsubduraleffusionintochronicsubduralhematoma AT pengh predictionofriskfactorsfortheevolutionoftraumaticsubduraleffusionintochronicsubduralhematoma AT shaox predictionofriskfactorsfortheevolutionoftraumaticsubduraleffusionintochronicsubduralhematoma AT yaol predictionofriskfactorsfortheevolutionoftraumaticsubduraleffusionintochronicsubduralhematoma AT liuj predictionofriskfactorsfortheevolutionoftraumaticsubduraleffusionintochronicsubduralhematoma AT tianj predictionofriskfactorsfortheevolutionoftraumaticsubduraleffusionintochronicsubduralhematoma AT sunl predictionofriskfactorsfortheevolutionoftraumaticsubduraleffusionintochronicsubduralhematoma AT daiy predictionofriskfactorsfortheevolutionoftraumaticsubduraleffusionintochronicsubduralhematoma AT jiangx predictionofriskfactorsfortheevolutionoftraumaticsubduraleffusionintochronicsubduralhematoma AT chengl predictionofriskfactorsfortheevolutionoftraumaticsubduraleffusionintochronicsubduralhematoma
_version_	1718395943676542976

Prediction of Risk Factors for the Evolution of Traumatic Subdural Effusion into Chronic Subdural Hematoma

Ejemplares similares