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 journalArticlepeer-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 languageEnglish
Pages (from-to)199-203
Number of pages5
JournalBritish Journal of Neurosurgery
Volume28
Issue number2
DOIs
Publication statusPublished - 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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