Single versus double burr-hole drainage for chronic subdural hematoma: A study of relevant prognostic factors conducted in Pakistan

Single vs. Double Burrhole for CSDH

  • Habib Ullah Khan, Dr MBBS, FCPS (General Surgery), FCPS (Neurosurgery), National University of Medical Sciences (NUMS), Rawalpindi, Pakistan
  • Khaula Atif, Dr MBBS, MCPS (Family Medicine), Diploma in Public Health, Diploma in Medical Administration, National University of Medical Sciences (NUMS), Rawalpindi, Pakistan
  • Gholamheidar Teimori Boghsani, MSc MSc of Occupational Health, School of Public Health, Torbat Heydariyeh University of Medical Sciences, Torbat Heydariyeh, Iran
Keywords: Glasgow Coma Scale, Intracranial Hemorrhage, Seizures, Recurrence, Developing Countries

Abstract

Objective: To compare the efficacy of single versus double burr-hole for drainage of chronic subdural hematoma, keeping in consideration pertinent demographic, pre and postoperative associations.

Methods: A prospective cohort study carried out in Combined Military Hospital, Multan, (December 2016-August 2018), on adults with diagnosed chronic subdural hematoma (CSDH); being segregated by randomized control trial, non-probability purposive sampling into Group-A and Group-B (who underwent single and double burr-holes for CSDH-drainage respectively). Utilizing SPSS-21, data expressed as frequencies/percentages and mean± standard deviation (SD) and cross-tabulated; p-value <0.05 was taken as significant.

Results: Age and GCS scores were 62±13.694 (range 38-94) and 11.00±3.350 (range 3-15) respectively, males being 40(66.7). Post-operative fatality was Nil, while 8(13.3%) and 14(23.3%) had post-operative seizures and recurrence of hematoma respectively. There was no significant association between type of burr-hole and hospital stay (p 0-884), seizures (p 0.448) or recurrence (p 0.542). Hospital stay (p<0.000) and seizures (p-0.005) were inversely proportional to GCS scores on presentation. Recurrence rates were not affected by age (p-0 .175) or gender (p-0 .281).

Conclusion: There was no significant difference between outcomes of single and double burr-hole surgeries; the former must be preferred because of lesser iatrogenic trauma. GCS-score on presentation was validated as a negative association to anticipate post-operative outcomes.

doi: https://doi.org/10.12669/pjms.35.4.543

How to cite this:
Khan HU, Atif K, Boghsani GT. Single versus double burr-hole drainage for chronic subdural hematoma: A study of relevant prognostic factors conducted in Pakistan. Pak J Med Sci. 2019;35(4):963-968. doi: https://doi.org/10.12669/pjms.35.4.543

This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Published
2019-07-09
Section
Original Articles