Chronic subdural hematoma-incidence, complications, and financial impact.

Acta neurochirurgica
Minna RauhalaTeemu M Luoto

Abstract

To examine the population-based incidence, complications, and total, direct hospital costs of chronic subdural hematoma (CSDH) treatment in a neurosurgical clinic during a 26-year period. The aim was also to estimate the necessity of planned postoperative follow-up computed tomography (CT). A retrospective cohort (1990-2015) of adult patients living in Pirkanmaa, Finland, with a CSDH was identified using ICD codes and verified by medical records (n = 1148, median age = 76 years, men = 65%). Data collection was performed from medical records. To estimate the total, direct hospital costs, all costs from hospital admission until the last neurosurgical follow-up visit were calculated. All patients were followed until death or the end of 2017. The annual number of inhabitants in the Pirkanmaa Region was obtained from the Statistics Finland (Helsinki, Finland). The incidence of CSDH among the population 80 years or older has increased among both operatively (from 36.6 to 91/100,000/year) and non-operatively (from 4.7 to 36.9/100,000/year) treated cases. Eighty-five percent (n = 978) underwent surgery. Routine 4-6 weeks' postoperative follow-up CT increased the number of re-operations by 18% (n = 49). Most of the re-operations (92%) t...Continue Reading

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Citations

Mar 30, 2021·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Haydn HoffmanLawrence S Chin
May 25, 2021·Frontiers in Neurology·Jefferson W ChenDiem Kieu Tran
Jul 22, 2021·BMC Veterinary Research·Nagesh C ShanbhagIben Lundgaard
Nov 23, 2021·International Journal of Clinical Practice·Baris ErdoganTaner Engin
Jan 1, 2022·Journal of Neurosurgery·Thorbjørn Søren Rønn JensenKåre Fugleholm

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