Proposal for a prospective multi-centre audit of chronic subdural haematoma management in the United Kingdom and Ireland

Ian C Coulter; Angelos G Kolias; Hani J Marcus; Aminul I Ahmed; Saira Alli; Rafid Al-Mahfoudh; Anouk Borg; Christopher J A Cowie; Ciaran S Hill; Alexis J Joannides; Timothy L Jones; Ahilan Kailaya-Vasan; James L Livermore; Harsha Narayanamurthy; Desire Ngoga; Jonathan Shapey; Andrew Tarnaris; Barbara A Gregson; William P Gray; Richard J Nelson; Peter J Hutchinson; Paul M Brennan; UK Neurosurgical Research Network, British Neurosurgical Trainee Research Collaborative

doi:10.3109/02688697.2013.835378

Proposal for a prospective multi-centre audit of chronic subdural haematoma management in the United Kingdom and Ireland

Ian C Coulter, Angelos G Kolias, Hani J Marcus, Aminul I Ahmed, Saira Alli, Rafid Al-Mahfoudh, Anouk Borg, Christopher J A Cowie, Ciaran S Hill, Alexis J Joannides, Timothy L Jones, Ahilan Kailaya-Vasan, James L Livermore, Harsha Narayanamurthy, Desire Ngoga, Jonathan Shapey, Andrew Tarnaris, Barbara A Gregson, William P Gray, Richard J NelsonPeter J Hutchinson, Paul M Brennan, UK Neurosurgical Research Network, British Neurosurgical Trainee Research Collaborative

Research output: Contribution to journal › Article › peer-review

Abstract

Background. Chronic subdural haematoma (CSDH) is a common condition that increases in incidence with rising age. Evacuation of a CSDH is one of the commonest neurosurgical procedures; however the optimal peri-operative management, surgical technique, post-operative care and the role of adjuvant therapies remain controversial. Aim. We propose a prospective multi-centre audit in order to establish current practices, outcomes and national benchmarks for future studies. Methods. Neurosurgical units (NSU) in the United Kingdom and Ireland will be invited to enrol patients to this audit. All adult patients aged 16 years and over with a primary or recurrent CSDH will be eligible for inclusion. Outcome measures and analysis. The proposed outcome measures are (1) clinical recurrence requiring re-operation within 60 days; (2) modified Rankin scale (mRS) score at discharge from NSU; (3) morbidity and mortality in the NSU; (4) destination at discharge from NSU and (5) length of stay in the NSU. Audit standards have been derived from published systematic reviews and a recent randomised trial. The proposed standards are clinical recurrence rate

Original language	English
Pages (from-to)	199-203
Number of pages	5
Journal	British Journal of Neurosurgery
Volume	28
Issue number	2
DOIs	https://doi.org/10.3109/02688697.2013.835378
Publication status	Published - Apr 2014

Keywords

burr-hole evacuation
cohort study
elderly care
multi-centre
national audit
CLOSED-SYSTEM DRAINAGE
POSTOPERATIVE-PATIENT POSTURE
BURR-HOLE CRANIOSTOMY
SURGICAL-MANAGEMENT
RECURRENCE
SURROGATE
SURVIVORS
SURGERY
SINGLE
TRIAL

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Coulter, I. C., Kolias, A. G., Marcus, H. J., Ahmed, A. I., Alli, S., Al-Mahfoudh, R., Borg, A., Cowie, C. J. A., Hill, C. S., Joannides, A. J., Jones, T. L., Kailaya-Vasan, A., Livermore, J. L., Narayanamurthy, H., Ngoga, D., Shapey, J., Tarnaris, A., Gregson, B. A., Gray, W. P., ... UK Neurosurgical Research Network, British Neurosurgical Trainee Research Collaborative (2014). Proposal for a prospective multi-centre audit of chronic subdural haematoma management in the United Kingdom and Ireland. British Journal of Neurosurgery, 28(2), 199-203. https://doi.org/10.3109/02688697.2013.835378

Coulter, Ian C ; Kolias, Angelos G ; Marcus, Hani J ; Ahmed, Aminul I ; Alli, Saira ; Al-Mahfoudh, Rafid ; Borg, Anouk ; Cowie, Christopher J A ; Hill, Ciaran S ; Joannides, Alexis J ; Jones, Timothy L ; Kailaya-Vasan, Ahilan ; Livermore, James L ; Narayanamurthy, Harsha ; Ngoga, Desire ; Shapey, Jonathan ; Tarnaris, Andrew ; Gregson, Barbara A ; Gray, William P ; Nelson, Richard J ; Hutchinson, Peter J ; Brennan, Paul M ; UK Neurosurgical Research Network, British Neurosurgical Trainee Research Collaborative. / Proposal for a prospective multi-centre audit of chronic subdural haematoma management in the United Kingdom and Ireland. In: British Journal of Neurosurgery. 2014 ; Vol. 28, No. 2. pp. 199-203.

@article{512f29db33d44d9481af0ab077c2a004,

title = "Proposal for a prospective multi-centre audit of chronic subdural haematoma management in the United Kingdom and Ireland",

abstract = "Background. Chronic subdural haematoma (CSDH) is a common condition that increases in incidence with rising age. Evacuation of a CSDH is one of the commonest neurosurgical procedures; however the optimal peri-operative management, surgical technique, post-operative care and the role of adjuvant therapies remain controversial. Aim. We propose a prospective multi-centre audit in order to establish current practices, outcomes and national benchmarks for future studies. Methods. Neurosurgical units (NSU) in the United Kingdom and Ireland will be invited to enrol patients to this audit. All adult patients aged 16 years and over with a primary or recurrent CSDH will be eligible for inclusion. Outcome measures and analysis. The proposed outcome measures are (1) clinical recurrence requiring re-operation within 60 days; (2) modified Rankin scale (mRS) score at discharge from NSU; (3) morbidity and mortality in the NSU; (4) destination at discharge from NSU and (5) length of stay in the NSU. Audit standards have been derived from published systematic reviews and a recent randomised trial. The proposed standards are clinical recurrence rate ",

keywords = "burr-hole evacuation, cohort study, elderly care, multi-centre, national audit, CLOSED-SYSTEM DRAINAGE, POSTOPERATIVE-PATIENT POSTURE, BURR-HOLE CRANIOSTOMY, SURGICAL-MANAGEMENT, RECURRENCE, SURROGATE, SURVIVORS, SURGERY, SINGLE, TRIAL",

author = "Coulter, {Ian C} and Kolias, {Angelos G} and Marcus, {Hani J} and Ahmed, {Aminul I} and Saira Alli and Rafid Al-Mahfoudh and Anouk Borg and Cowie, {Christopher J A} and Hill, {Ciaran S} and Joannides, {Alexis J} and Jones, {Timothy L} and Ahilan Kailaya-Vasan and Livermore, {James L} and Harsha Narayanamurthy and Desire Ngoga and Jonathan Shapey and Andrew Tarnaris and Gregson, {Barbara A} and Gray, {William P} and Nelson, {Richard J} and Hutchinson, {Peter J} and Brennan, {Paul M} and {UK Neurosurgical Research Network, British Neurosurgical Trainee Research Collaborative}",

year = "2014",

month = apr,

doi = "10.3109/02688697.2013.835378",

language = "English",

volume = "28",

pages = "199--203",

journal = "British Journal of Neurosurgery",

issn = "0268-8697",

publisher = "Informa Healthcare",

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Coulter, IC, Kolias, AG, Marcus, HJ, Ahmed, AI, Alli, S, Al-Mahfoudh, R, Borg, A, Cowie, CJA, Hill, CS, Joannides, AJ, Jones, TL, Kailaya-Vasan, A, Livermore, JL, Narayanamurthy, H, Ngoga, D, Shapey, J, Tarnaris, A, Gregson, BA, Gray, WP, Nelson, RJ, Hutchinson, PJ, Brennan, PM & UK Neurosurgical Research Network, British Neurosurgical Trainee Research Collaborative 2014, 'Proposal for a prospective multi-centre audit of chronic subdural haematoma management in the United Kingdom and Ireland', British Journal of Neurosurgery, vol. 28, no. 2, pp. 199-203. https://doi.org/10.3109/02688697.2013.835378

Proposal for a prospective multi-centre audit of chronic subdural haematoma management in the United Kingdom and Ireland. / Coulter, Ian C; Kolias, Angelos G; Marcus, Hani J; Ahmed, Aminul I; Alli, Saira; Al-Mahfoudh, Rafid; Borg, Anouk; Cowie, Christopher J A; Hill, Ciaran S; Joannides, Alexis J; Jones, Timothy L; Kailaya-Vasan, Ahilan; Livermore, James L; Narayanamurthy, Harsha; Ngoga, Desire; Shapey, Jonathan; Tarnaris, Andrew; Gregson, Barbara A; Gray, William P; Nelson, Richard J; Hutchinson, Peter J; Brennan, Paul M; UK Neurosurgical Research Network, British Neurosurgical Trainee Research Collaborative.

In: British Journal of Neurosurgery, Vol. 28, No. 2, 04.2014, p. 199-203.

Research output: Contribution to journal › Article › peer-review

TY - JOUR

T1 - Proposal for a prospective multi-centre audit of chronic subdural haematoma management in the United Kingdom and Ireland

AU - Coulter, Ian C

AU - Kolias, Angelos G

AU - Marcus, Hani J

AU - Ahmed, Aminul I

AU - Alli, Saira

AU - Al-Mahfoudh, Rafid

AU - Borg, Anouk

AU - Cowie, Christopher J A

AU - Hill, Ciaran S

AU - Joannides, Alexis J

AU - Jones, Timothy L

AU - Kailaya-Vasan, Ahilan

AU - Livermore, James L

AU - Narayanamurthy, Harsha

AU - Ngoga, Desire

AU - Shapey, Jonathan

AU - Tarnaris, Andrew

AU - Gregson, Barbara A

AU - Gray, William P

AU - Nelson, Richard J

AU - Hutchinson, Peter J

AU - Brennan, Paul M

AU - UK Neurosurgical Research Network, British Neurosurgical Trainee Research Collaborative

PY - 2014/4

Y1 - 2014/4

N2 - Background. Chronic subdural haematoma (CSDH) is a common condition that increases in incidence with rising age. Evacuation of a CSDH is one of the commonest neurosurgical procedures; however the optimal peri-operative management, surgical technique, post-operative care and the role of adjuvant therapies remain controversial. Aim. We propose a prospective multi-centre audit in order to establish current practices, outcomes and national benchmarks for future studies. Methods. Neurosurgical units (NSU) in the United Kingdom and Ireland will be invited to enrol patients to this audit. All adult patients aged 16 years and over with a primary or recurrent CSDH will be eligible for inclusion. Outcome measures and analysis. The proposed outcome measures are (1) clinical recurrence requiring re-operation within 60 days; (2) modified Rankin scale (mRS) score at discharge from NSU; (3) morbidity and mortality in the NSU; (4) destination at discharge from NSU and (5) length of stay in the NSU. Audit standards have been derived from published systematic reviews and a recent randomised trial. The proposed standards are clinical recurrence rate

AB - Background. Chronic subdural haematoma (CSDH) is a common condition that increases in incidence with rising age. Evacuation of a CSDH is one of the commonest neurosurgical procedures; however the optimal peri-operative management, surgical technique, post-operative care and the role of adjuvant therapies remain controversial. Aim. We propose a prospective multi-centre audit in order to establish current practices, outcomes and national benchmarks for future studies. Methods. Neurosurgical units (NSU) in the United Kingdom and Ireland will be invited to enrol patients to this audit. All adult patients aged 16 years and over with a primary or recurrent CSDH will be eligible for inclusion. Outcome measures and analysis. The proposed outcome measures are (1) clinical recurrence requiring re-operation within 60 days; (2) modified Rankin scale (mRS) score at discharge from NSU; (3) morbidity and mortality in the NSU; (4) destination at discharge from NSU and (5) length of stay in the NSU. Audit standards have been derived from published systematic reviews and a recent randomised trial. The proposed standards are clinical recurrence rate

KW - burr-hole evacuation

KW - cohort study

KW - elderly care

KW - multi-centre

KW - national audit

KW - CLOSED-SYSTEM DRAINAGE

KW - POSTOPERATIVE-PATIENT POSTURE

KW - BURR-HOLE CRANIOSTOMY

KW - SURGICAL-MANAGEMENT

KW - RECURRENCE

KW - SURROGATE

KW - SURVIVORS

KW - SURGERY

KW - SINGLE

KW - TRIAL

U2 - 10.3109/02688697.2013.835378

DO - 10.3109/02688697.2013.835378

M3 - Article

C2 - 24053314

VL - 28

SP - 199

EP - 203

JO - British Journal of Neurosurgery

JF - British Journal of Neurosurgery

SN - 0268-8697

IS - 2

ER -