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 |
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Pages (from-to) | 199-203 |
Number of pages | 5 |
Journal | British Journal of Neurosurgery |
Volume | 28 |
Issue number | 2 |
DOIs | |
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