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dc.contributor.author최규선-
dc.date.accessioned2019-12-01T11:55:50Z-
dc.date.available2019-12-01T11:55:50Z-
dc.date.issued2017-10-
dc.identifier.citationJOURNAL OF KOREAN NEUROSURGICAL SOCIETY, v. 60, no. 6, page. 723-729en_US
dc.identifier.issn2005-3711-
dc.identifier.issn1598-7876-
dc.identifier.urihttps://www.jkns.or.kr/journal/view.php?doi=10.3340/jkns.2017.0506.011-
dc.identifier.urihttps://repository.hanyang.ac.kr/handle/20.500.11754/115815-
dc.description.abstractObjective : Acute subdural hematoma (ASDH) is generally considered a condition that should be managed surgically. However, some patients initially receive conservative treatment, a subset of whom require surgical intervention later. This study aimed to evaluate the predictors of delayed surgical intervention in ASDH patients who are initially managed conservatively.Methods : From January 2007 to December 2015, 842 patients diagnosed with ASDH were treated at our institution. Among them, 158 patients with convexity ASDH were initially treated conservatively. Patients were divided into a delayed surgery group and a conservative group. Demographic characteristics, past medication and medical histories, and radiological and laboratory data were collected by retrospective chart review. Independent risk factors were identified with univariate and multivariate analyses.Results : Twenty-eight patients (17.7%) underwent delayed surgical intervention. Their mean age was 69.0 years, and 82.1% were male. Hypertension, diabetes mellitus, and heart disease prevalence and use of anti-platelet agents did not significantly differ from the conservative group. However, age (p=0.024), previous cerebral infarction history (p=0.026), increased maximal hematoma thickness (p<0.001), midline shifting (p=0.001) and accompanying subarachnoid hemorrhage (p=0.022) on initial brain computed tomography (CT) scan, low hemoglobin level (p<0.001), high leukocyte count (p=0.004), and low glucose level (p=0.002) were significantly associated with delayed surgical intervention. In multivariate analysis, increased maximal hematoma thickness (odds ratio [OR]=1.279, 95% confidence interval [CI] 1.075-1.521; p=0.006), low hemoglobin level (OR=0.673, 95% CI 0.467-0.970; p=0.034), and high leukocyte count (OR=1.142, 95% CI 1.024-1.272; p=0.017) were independent risk factors for delayed surgical intervention.Conclusion : Due to the high likelihood of delayed surgical intervention among minimal ASDH patients with a thicker hematoma on initial brain CT, lower hemoglobin level, and higher leukocyte count, these patients should receive more careful observation.en_US
dc.language.isoen_USen_US
dc.publisherKOREAN NEUROSURGICAL SOCen_US
dc.subjectHematoma, Subduralen_US
dc.subjectSurgical procedure, Operativeen_US
dc.subjectConservative treatmenten_US
dc.subjectRisk factorsen_US
dc.subjectOutcomeen_US
dc.titleRisk Factors of Delayed Surgical Intervention after Conservatively Treated Acute Traumatic Subdural Hematomaen_US
dc.typeArticleen_US
dc.identifier.doi10.3340/jkns.2017.0506.011-
dc.relation.journalJOURNAL OF KOREAN NEUROSURGICAL SOCIETY-
dc.contributor.googleauthorKwon, Hyungjoo-
dc.contributor.googleauthorChoi, Kyu-Sun-
dc.contributor.googleauthorYi, Hyeong-Joong-
dc.contributor.googleauthorChun, Hyoung-Joon-
dc.contributor.googleauthorLee, Young-Jun-
dc.contributor.googleauthorKim, Dong-won-
dc.relation.code2017005007-
dc.sector.campusS-
dc.sector.daehakCOLLEGE OF MEDICINE[S]-
dc.sector.departmentDEPARTMENT OF MEDICINE-
dc.identifier.pidvertex09-


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