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

Habib Ullah Khan; Khaula Atif; Gholamheidar Teimori Boghsani

doi:10.12669/pjms.35.4.543

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

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

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.

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

Abstract