Chronic subdural hematoma with mild to moderate symptoms: The effect of initial treatment approach on clinical outcome.

ABSTRACT:

Background

The effect of a conservative (wait-and-watch) approach in chronic subdural hematoma (cSDH) patients with mild to moderate symptoms, is poorly studied. Surgical evacuation is effective, but inherently carries the risk of surgical or anesthetic complications.

Research question

To assess the effect of conservative or operative (burrhole craniostomy) treatment on clinical outcome, in cSDH patients with mild to moderate symptoms.

Methods

This single center, retrospective cohort study included 444 cSDH patients with a Markwalder Grading Scale score 1 or 2, treated between 2012 and 2022. The primary outcomes were complication rate, length of hospital stay and 30-days' mortality. The results were analyzed using both intention-to-treat and as-treated approaches. Pro

SUBMITTER: Foppen M 

PROVIDER: S-EPMC11925197 | biostudies-literature | 2025

REPOSITORIES: biostudies-literature