Dehydration Status at Admission Predicts Recurrence in Patients with Traumatic Chronic Subdural Hematoma

Objective: There remains a significant risk of chronic subdural hematoma (CSDH) recurring after treatment. Patient-related predictors and surgical procedures have been investigated in many studies. In contrast, the literature remains scant on reports of the potential impact of dehydration on the adm...
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Autor*in:	Niklas Mainka [verfasserIn] Valeri Borger [verfasserIn] Alexis Hadjiathanasiou [verfasserIn] Motaz Hamed [verfasserIn] Anna-Laura Potthoff [verfasserIn] Hartmut Vatter [verfasserIn] Patrick Schuss [verfasserIn] Matthias Schneider [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2022

Schlagwörter:	dehydration chronic subdural hematoma traumatic brain injury recurrence

Übergeordnetes Werk:	In: Journal of Clinical Medicine - MDPI AG, 2013, 11(2022), 5, p 1178
Übergeordnetes Werk:	volume:11 ; year:2022 ; number:5, p 1178

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc

DOI / URN:	10.3390/jcm11051178

Katalog-ID:	DOAJ016179854

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520			\|a Objective: There remains a significant risk of chronic subdural hematoma (CSDH) recurring after treatment. Patient-related predictors and surgical procedures have been investigated in many studies. In contrast, the literature remains scant on reports of the potential impact of dehydration on the admission of affected patients and on the CSDH recurrence rate. Methods: All consecutively admitted patients with CSDH and surgical treatment at the authors’ institution between 2015 and 2019 were retrospectively identified. Dehydration was assessed as a blood urea/creatinine (U/Cr) ratio < 80. The association between dehydration on admission and postoperative complication rates, in-hospital mortality, and recurrence of CSDH, with the need for additional surgical treatment, was further analyzed. Results: A total of 265 patients with CSDH requiring surgery were identified. In 32 patients (12%), further surgery was necessary due to the recurrence of CSDH. It was found that 9 of the 265 patients with CSDH (3%) suffered from dehydration at the time of admission. Multivariate analysis revealed diabetes mellitus (<i<p</i< = 0.02, OR 2.7, 95% CI 1.2–6.5), a preoperative midline shift < 5 mm (<i<p</i< = 0.003, OR 3.3, 95% CI 1.5–7.5) and dehydration on admission (<i<p</i< = 0.002, OR 10.3, 95% CI 2.4–44.1) as significant and independent predictors for the development of CSDH recurrence that requires surgery. Conclusion: the present findings indicate that dehydration on admission appears to be an independent predictor for CSDH recurrence that requires surgery.
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allfields	10.3390/jcm11051178 doi (DE-627)DOAJ016179854 (DE-599)DOAJf9ee925da1a0421d8da46adf3c2aecf9 DE-627 ger DE-627 rakwb eng Niklas Mainka verfasserin aut Dehydration Status at Admission Predicts Recurrence in Patients with Traumatic Chronic Subdural Hematoma 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objective: There remains a significant risk of chronic subdural hematoma (CSDH) recurring after treatment. Patient-related predictors and surgical procedures have been investigated in many studies. In contrast, the literature remains scant on reports of the potential impact of dehydration on the admission of affected patients and on the CSDH recurrence rate. Methods: All consecutively admitted patients with CSDH and surgical treatment at the authors’ institution between 2015 and 2019 were retrospectively identified. Dehydration was assessed as a blood urea/creatinine (U/Cr) ratio < 80. The association between dehydration on admission and postoperative complication rates, in-hospital mortality, and recurrence of CSDH, with the need for additional surgical treatment, was further analyzed. Results: A total of 265 patients with CSDH requiring surgery were identified. In 32 patients (12%), further surgery was necessary due to the recurrence of CSDH. It was found that 9 of the 265 patients with CSDH (3%) suffered from dehydration at the time of admission. Multivariate analysis revealed diabetes mellitus (<i<p</i< = 0.02, OR 2.7, 95% CI 1.2–6.5), a preoperative midline shift < 5 mm (<i<p</i< = 0.003, OR 3.3, 95% CI 1.5–7.5) and dehydration on admission (<i<p</i< = 0.002, OR 10.3, 95% CI 2.4–44.1) as significant and independent predictors for the development of CSDH recurrence that requires surgery. Conclusion: the present findings indicate that dehydration on admission appears to be an independent predictor for CSDH recurrence that requires surgery. dehydration chronic subdural hematoma traumatic brain injury recurrence Medicine R Valeri Borger verfasserin aut Alexis Hadjiathanasiou verfasserin aut Motaz Hamed verfasserin aut Anna-Laura Potthoff verfasserin aut Hartmut Vatter verfasserin aut Patrick Schuss verfasserin aut Matthias Schneider verfasserin aut In Journal of Clinical Medicine MDPI AG, 2013 11(2022), 5, p 1178 (DE-627)718632478 (DE-600)2662592-1 20770383 nnns volume:11 year:2022 number:5, p 1178 https://doi.org/10.3390/jcm11051178 kostenfrei https://doaj.org/article/f9ee925da1a0421d8da46adf3c2aecf9 kostenfrei https://www.mdpi.com/2077-0383/11/5/1178 kostenfrei https://doaj.org/toc/2077-0383 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 11 2022 5, p 1178
spelling	10.3390/jcm11051178 doi (DE-627)DOAJ016179854 (DE-599)DOAJf9ee925da1a0421d8da46adf3c2aecf9 DE-627 ger DE-627 rakwb eng Niklas Mainka verfasserin aut Dehydration Status at Admission Predicts Recurrence in Patients with Traumatic Chronic Subdural Hematoma 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objective: There remains a significant risk of chronic subdural hematoma (CSDH) recurring after treatment. Patient-related predictors and surgical procedures have been investigated in many studies. In contrast, the literature remains scant on reports of the potential impact of dehydration on the admission of affected patients and on the CSDH recurrence rate. Methods: All consecutively admitted patients with CSDH and surgical treatment at the authors’ institution between 2015 and 2019 were retrospectively identified. Dehydration was assessed as a blood urea/creatinine (U/Cr) ratio < 80. The association between dehydration on admission and postoperative complication rates, in-hospital mortality, and recurrence of CSDH, with the need for additional surgical treatment, was further analyzed. Results: A total of 265 patients with CSDH requiring surgery were identified. In 32 patients (12%), further surgery was necessary due to the recurrence of CSDH. It was found that 9 of the 265 patients with CSDH (3%) suffered from dehydration at the time of admission. Multivariate analysis revealed diabetes mellitus (<i<p</i< = 0.02, OR 2.7, 95% CI 1.2–6.5), a preoperative midline shift < 5 mm (<i<p</i< = 0.003, OR 3.3, 95% CI 1.5–7.5) and dehydration on admission (<i<p</i< = 0.002, OR 10.3, 95% CI 2.4–44.1) as significant and independent predictors for the development of CSDH recurrence that requires surgery. Conclusion: the present findings indicate that dehydration on admission appears to be an independent predictor for CSDH recurrence that requires surgery. dehydration chronic subdural hematoma traumatic brain injury recurrence Medicine R Valeri Borger verfasserin aut Alexis Hadjiathanasiou verfasserin aut Motaz Hamed verfasserin aut Anna-Laura Potthoff verfasserin aut Hartmut Vatter verfasserin aut Patrick Schuss verfasserin aut Matthias Schneider verfasserin aut In Journal of Clinical Medicine MDPI AG, 2013 11(2022), 5, p 1178 (DE-627)718632478 (DE-600)2662592-1 20770383 nnns volume:11 year:2022 number:5, p 1178 https://doi.org/10.3390/jcm11051178 kostenfrei https://doaj.org/article/f9ee925da1a0421d8da46adf3c2aecf9 kostenfrei https://www.mdpi.com/2077-0383/11/5/1178 kostenfrei https://doaj.org/toc/2077-0383 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 11 2022 5, p 1178
allfields_unstemmed	10.3390/jcm11051178 doi (DE-627)DOAJ016179854 (DE-599)DOAJf9ee925da1a0421d8da46adf3c2aecf9 DE-627 ger DE-627 rakwb eng Niklas Mainka verfasserin aut Dehydration Status at Admission Predicts Recurrence in Patients with Traumatic Chronic Subdural Hematoma 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objective: There remains a significant risk of chronic subdural hematoma (CSDH) recurring after treatment. Patient-related predictors and surgical procedures have been investigated in many studies. In contrast, the literature remains scant on reports of the potential impact of dehydration on the admission of affected patients and on the CSDH recurrence rate. Methods: All consecutively admitted patients with CSDH and surgical treatment at the authors’ institution between 2015 and 2019 were retrospectively identified. Dehydration was assessed as a blood urea/creatinine (U/Cr) ratio < 80. The association between dehydration on admission and postoperative complication rates, in-hospital mortality, and recurrence of CSDH, with the need for additional surgical treatment, was further analyzed. Results: A total of 265 patients with CSDH requiring surgery were identified. In 32 patients (12%), further surgery was necessary due to the recurrence of CSDH. It was found that 9 of the 265 patients with CSDH (3%) suffered from dehydration at the time of admission. Multivariate analysis revealed diabetes mellitus (<i<p</i< = 0.02, OR 2.7, 95% CI 1.2–6.5), a preoperative midline shift < 5 mm (<i<p</i< = 0.003, OR 3.3, 95% CI 1.5–7.5) and dehydration on admission (<i<p</i< = 0.002, OR 10.3, 95% CI 2.4–44.1) as significant and independent predictors for the development of CSDH recurrence that requires surgery. Conclusion: the present findings indicate that dehydration on admission appears to be an independent predictor for CSDH recurrence that requires surgery. dehydration chronic subdural hematoma traumatic brain injury recurrence Medicine R Valeri Borger verfasserin aut Alexis Hadjiathanasiou verfasserin aut Motaz Hamed verfasserin aut Anna-Laura Potthoff verfasserin aut Hartmut Vatter verfasserin aut Patrick Schuss verfasserin aut Matthias Schneider verfasserin aut In Journal of Clinical Medicine MDPI AG, 2013 11(2022), 5, p 1178 (DE-627)718632478 (DE-600)2662592-1 20770383 nnns volume:11 year:2022 number:5, p 1178 https://doi.org/10.3390/jcm11051178 kostenfrei https://doaj.org/article/f9ee925da1a0421d8da46adf3c2aecf9 kostenfrei https://www.mdpi.com/2077-0383/11/5/1178 kostenfrei https://doaj.org/toc/2077-0383 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 11 2022 5, p 1178
allfieldsGer	10.3390/jcm11051178 doi (DE-627)DOAJ016179854 (DE-599)DOAJf9ee925da1a0421d8da46adf3c2aecf9 DE-627 ger DE-627 rakwb eng Niklas Mainka verfasserin aut Dehydration Status at Admission Predicts Recurrence in Patients with Traumatic Chronic Subdural Hematoma 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objective: There remains a significant risk of chronic subdural hematoma (CSDH) recurring after treatment. Patient-related predictors and surgical procedures have been investigated in many studies. In contrast, the literature remains scant on reports of the potential impact of dehydration on the admission of affected patients and on the CSDH recurrence rate. Methods: All consecutively admitted patients with CSDH and surgical treatment at the authors’ institution between 2015 and 2019 were retrospectively identified. Dehydration was assessed as a blood urea/creatinine (U/Cr) ratio < 80. The association between dehydration on admission and postoperative complication rates, in-hospital mortality, and recurrence of CSDH, with the need for additional surgical treatment, was further analyzed. Results: A total of 265 patients with CSDH requiring surgery were identified. In 32 patients (12%), further surgery was necessary due to the recurrence of CSDH. It was found that 9 of the 265 patients with CSDH (3%) suffered from dehydration at the time of admission. Multivariate analysis revealed diabetes mellitus (<i<p</i< = 0.02, OR 2.7, 95% CI 1.2–6.5), a preoperative midline shift < 5 mm (<i<p</i< = 0.003, OR 3.3, 95% CI 1.5–7.5) and dehydration on admission (<i<p</i< = 0.002, OR 10.3, 95% CI 2.4–44.1) as significant and independent predictors for the development of CSDH recurrence that requires surgery. Conclusion: the present findings indicate that dehydration on admission appears to be an independent predictor for CSDH recurrence that requires surgery. dehydration chronic subdural hematoma traumatic brain injury recurrence Medicine R Valeri Borger verfasserin aut Alexis Hadjiathanasiou verfasserin aut Motaz Hamed verfasserin aut Anna-Laura Potthoff verfasserin aut Hartmut Vatter verfasserin aut Patrick Schuss verfasserin aut Matthias Schneider verfasserin aut In Journal of Clinical Medicine MDPI AG, 2013 11(2022), 5, p 1178 (DE-627)718632478 (DE-600)2662592-1 20770383 nnns volume:11 year:2022 number:5, p 1178 https://doi.org/10.3390/jcm11051178 kostenfrei https://doaj.org/article/f9ee925da1a0421d8da46adf3c2aecf9 kostenfrei https://www.mdpi.com/2077-0383/11/5/1178 kostenfrei https://doaj.org/toc/2077-0383 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 11 2022 5, p 1178
allfieldsSound	10.3390/jcm11051178 doi (DE-627)DOAJ016179854 (DE-599)DOAJf9ee925da1a0421d8da46adf3c2aecf9 DE-627 ger DE-627 rakwb eng Niklas Mainka verfasserin aut Dehydration Status at Admission Predicts Recurrence in Patients with Traumatic Chronic Subdural Hematoma 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objective: There remains a significant risk of chronic subdural hematoma (CSDH) recurring after treatment. Patient-related predictors and surgical procedures have been investigated in many studies. In contrast, the literature remains scant on reports of the potential impact of dehydration on the admission of affected patients and on the CSDH recurrence rate. Methods: All consecutively admitted patients with CSDH and surgical treatment at the authors’ institution between 2015 and 2019 were retrospectively identified. Dehydration was assessed as a blood urea/creatinine (U/Cr) ratio < 80. The association between dehydration on admission and postoperative complication rates, in-hospital mortality, and recurrence of CSDH, with the need for additional surgical treatment, was further analyzed. Results: A total of 265 patients with CSDH requiring surgery were identified. In 32 patients (12%), further surgery was necessary due to the recurrence of CSDH. It was found that 9 of the 265 patients with CSDH (3%) suffered from dehydration at the time of admission. Multivariate analysis revealed diabetes mellitus (<i<p</i< = 0.02, OR 2.7, 95% CI 1.2–6.5), a preoperative midline shift < 5 mm (<i<p</i< = 0.003, OR 3.3, 95% CI 1.5–7.5) and dehydration on admission (<i<p</i< = 0.002, OR 10.3, 95% CI 2.4–44.1) as significant and independent predictors for the development of CSDH recurrence that requires surgery. Conclusion: the present findings indicate that dehydration on admission appears to be an independent predictor for CSDH recurrence that requires surgery. dehydration chronic subdural hematoma traumatic brain injury recurrence Medicine R Valeri Borger verfasserin aut Alexis Hadjiathanasiou verfasserin aut Motaz Hamed verfasserin aut Anna-Laura Potthoff verfasserin aut Hartmut Vatter verfasserin aut Patrick Schuss verfasserin aut Matthias Schneider verfasserin aut In Journal of Clinical Medicine MDPI AG, 2013 11(2022), 5, p 1178 (DE-627)718632478 (DE-600)2662592-1 20770383 nnns volume:11 year:2022 number:5, p 1178 https://doi.org/10.3390/jcm11051178 kostenfrei https://doaj.org/article/f9ee925da1a0421d8da46adf3c2aecf9 kostenfrei https://www.mdpi.com/2077-0383/11/5/1178 kostenfrei https://doaj.org/toc/2077-0383 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 11 2022 5, p 1178
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Patient-related predictors and surgical procedures have been investigated in many studies. In contrast, the literature remains scant on reports of the potential impact of dehydration on the admission of affected patients and on the CSDH recurrence rate. Methods: All consecutively admitted patients with CSDH and surgical treatment at the authors’ institution between 2015 and 2019 were retrospectively identified. Dehydration was assessed as a blood urea/creatinine (U/Cr) ratio < 80. The association between dehydration on admission and postoperative complication rates, in-hospital mortality, and recurrence of CSDH, with the need for additional surgical treatment, was further analyzed. Results: A total of 265 patients with CSDH requiring surgery were identified. In 32 patients (12%), further surgery was necessary due to the recurrence of CSDH. It was found that 9 of the 265 patients with CSDH (3%) suffered from dehydration at the time of admission. Multivariate analysis revealed diabetes mellitus (<i<p</i< = 0.02, OR 2.7, 95% CI 1.2–6.5), a preoperative midline shift < 5 mm (<i<p</i< = 0.003, OR 3.3, 95% CI 1.5–7.5) and dehydration on admission (<i<p</i< = 0.002, OR 10.3, 95% CI 2.4–44.1) as significant and independent predictors for the development of CSDH recurrence that requires surgery. 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author	Niklas Mainka
spellingShingle	Niklas Mainka misc dehydration misc chronic subdural hematoma misc traumatic brain injury misc recurrence misc Medicine misc R Dehydration Status at Admission Predicts Recurrence in Patients with Traumatic Chronic Subdural Hematoma
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topic_title	Dehydration Status at Admission Predicts Recurrence in Patients with Traumatic Chronic Subdural Hematoma dehydration chronic subdural hematoma traumatic brain injury recurrence
topic	misc dehydration misc chronic subdural hematoma misc traumatic brain injury misc recurrence misc Medicine misc R
topic_unstemmed	misc dehydration misc chronic subdural hematoma misc traumatic brain injury misc recurrence misc Medicine misc R
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title	Dehydration Status at Admission Predicts Recurrence in Patients with Traumatic Chronic Subdural Hematoma
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title_full	Dehydration Status at Admission Predicts Recurrence in Patients with Traumatic Chronic Subdural Hematoma
author_sort	Niklas Mainka
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author_browse	Niklas Mainka Valeri Borger Alexis Hadjiathanasiou Motaz Hamed Anna-Laura Potthoff Hartmut Vatter Patrick Schuss Matthias Schneider
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title_sort	dehydration status at admission predicts recurrence in patients with traumatic chronic subdural hematoma
title_auth	Dehydration Status at Admission Predicts Recurrence in Patients with Traumatic Chronic Subdural Hematoma
abstract	Objective: There remains a significant risk of chronic subdural hematoma (CSDH) recurring after treatment. Patient-related predictors and surgical procedures have been investigated in many studies. In contrast, the literature remains scant on reports of the potential impact of dehydration on the admission of affected patients and on the CSDH recurrence rate. Methods: All consecutively admitted patients with CSDH and surgical treatment at the authors’ institution between 2015 and 2019 were retrospectively identified. Dehydration was assessed as a blood urea/creatinine (U/Cr) ratio < 80. The association between dehydration on admission and postoperative complication rates, in-hospital mortality, and recurrence of CSDH, with the need for additional surgical treatment, was further analyzed. Results: A total of 265 patients with CSDH requiring surgery were identified. In 32 patients (12%), further surgery was necessary due to the recurrence of CSDH. It was found that 9 of the 265 patients with CSDH (3%) suffered from dehydration at the time of admission. Multivariate analysis revealed diabetes mellitus (<i<p</i< = 0.02, OR 2.7, 95% CI 1.2–6.5), a preoperative midline shift < 5 mm (<i<p</i< = 0.003, OR 3.3, 95% CI 1.5–7.5) and dehydration on admission (<i<p</i< = 0.002, OR 10.3, 95% CI 2.4–44.1) as significant and independent predictors for the development of CSDH recurrence that requires surgery. Conclusion: the present findings indicate that dehydration on admission appears to be an independent predictor for CSDH recurrence that requires surgery.
abstractGer	Objective: There remains a significant risk of chronic subdural hematoma (CSDH) recurring after treatment. Patient-related predictors and surgical procedures have been investigated in many studies. In contrast, the literature remains scant on reports of the potential impact of dehydration on the admission of affected patients and on the CSDH recurrence rate. Methods: All consecutively admitted patients with CSDH and surgical treatment at the authors’ institution between 2015 and 2019 were retrospectively identified. Dehydration was assessed as a blood urea/creatinine (U/Cr) ratio < 80. The association between dehydration on admission and postoperative complication rates, in-hospital mortality, and recurrence of CSDH, with the need for additional surgical treatment, was further analyzed. Results: A total of 265 patients with CSDH requiring surgery were identified. In 32 patients (12%), further surgery was necessary due to the recurrence of CSDH. It was found that 9 of the 265 patients with CSDH (3%) suffered from dehydration at the time of admission. Multivariate analysis revealed diabetes mellitus (<i<p</i< = 0.02, OR 2.7, 95% CI 1.2–6.5), a preoperative midline shift < 5 mm (<i<p</i< = 0.003, OR 3.3, 95% CI 1.5–7.5) and dehydration on admission (<i<p</i< = 0.002, OR 10.3, 95% CI 2.4–44.1) as significant and independent predictors for the development of CSDH recurrence that requires surgery. Conclusion: the present findings indicate that dehydration on admission appears to be an independent predictor for CSDH recurrence that requires surgery.
abstract_unstemmed	Objective: There remains a significant risk of chronic subdural hematoma (CSDH) recurring after treatment. Patient-related predictors and surgical procedures have been investigated in many studies. In contrast, the literature remains scant on reports of the potential impact of dehydration on the admission of affected patients and on the CSDH recurrence rate. Methods: All consecutively admitted patients with CSDH and surgical treatment at the authors’ institution between 2015 and 2019 were retrospectively identified. Dehydration was assessed as a blood urea/creatinine (U/Cr) ratio < 80. The association between dehydration on admission and postoperative complication rates, in-hospital mortality, and recurrence of CSDH, with the need for additional surgical treatment, was further analyzed. Results: A total of 265 patients with CSDH requiring surgery were identified. In 32 patients (12%), further surgery was necessary due to the recurrence of CSDH. It was found that 9 of the 265 patients with CSDH (3%) suffered from dehydration at the time of admission. Multivariate analysis revealed diabetes mellitus (<i<p</i< = 0.02, OR 2.7, 95% CI 1.2–6.5), a preoperative midline shift < 5 mm (<i<p</i< = 0.003, OR 3.3, 95% CI 1.5–7.5) and dehydration on admission (<i<p</i< = 0.002, OR 10.3, 95% CI 2.4–44.1) as significant and independent predictors for the development of CSDH recurrence that requires surgery. Conclusion: the present findings indicate that dehydration on admission appears to be an independent predictor for CSDH recurrence that requires surgery.
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title_short	Dehydration Status at Admission Predicts Recurrence in Patients with Traumatic Chronic Subdural Hematoma
url	https://doi.org/10.3390/jcm11051178 https://doaj.org/article/f9ee925da1a0421d8da46adf3c2aecf9 https://www.mdpi.com/2077-0383/11/5/1178 https://doaj.org/toc/2077-0383
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author2	Valeri Borger Alexis Hadjiathanasiou Motaz Hamed Anna-Laura Potthoff Hartmut Vatter Patrick Schuss Matthias Schneider
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up_date	2024-07-03T19:27:51.407Z
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Multivariate analysis revealed diabetes mellitus (<i<p</i< = 0.02, OR 2.7, 95% CI 1.2–6.5), a preoperative midline shift < 5 mm (<i<p</i< = 0.003, OR 3.3, 95% CI 1.5–7.5) and dehydration on admission (<i<p</i< = 0.002, OR 10.3, 95% CI 2.4–44.1) as significant and independent predictors for the development of CSDH recurrence that requires surgery. 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Dehydration Status at Admission Predicts Recurrence in Patients with Traumatic Chronic Subdural Hematoma

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