Regular CT scans are not necessary in patients with chronic subdural hematoma after surgery

Chronic subdural hematoma (Chronic subdural hematoma, CSDH) is common in elderly patients and is associated with increased incidence of social agingAt present, the standard of clinical treatment is different, and the level of surgeons, the national medical conditions are closely relatedAmong them, CT scan is the most common diagnostic measure of CSDH and a means to detect the recurrence of hematomaHowever, due to the lack of uniform rules for postoperative testing of CSDH, the number of postoperative CT scans by medical units and surgeons variesTo compare whether routine CT scans are beneficial to CSDH treatment, Alexander FCHulsbergen of BWH Neurosurgery at Harvard Medical School in Boston, USA, compared the effects of cSDH ct scans on clinical prognosis in patients with CSDH in two hospitals, published online In December 2018- Excerpted from the article chapter: Hulsbergen AFC, et alJ Neurosurg2018 Dec 21:1-8doi: 10.3171/2018.8JNS181767Thechronic subdural hematoma (CSDH) is common in elderly patients, and the increased incidence is associated with social agingAt present, the standard of clinical treatment is different, and the level of surgeons, the national medical conditions are closely relatedAmong them, CT scan is the most common diagnostic measure of CSDH and a means to detect the recurrence of hematoma However, due to the lack of uniform rules for postoperative testing of CSDH, the number of postoperative CT scans by medical units and surgeons varies To compare whether routine CT scans are beneficial to CSDH treatment, Alexander F C Hulsbergen of BWH Neurosurgery at Harvard Medical School in Boston, USA, compared the effects of cSDH ct scans on clinical prognosis in patients with CSDH in two hospitals, published online In December 2018 researchers collected data on 391 CSDH patients who underwent drilling surgery between BWH and UMCU between January 1, 2002 and July 1, 2016 BWH patients have routine CT scans after surgery, and UMCU patients do not have routine CT tests There was no statistical difference in age and gender between the two groups Comparing the number of CT scans, resurgery and postoperative neurological function in the 6 weeks after surgery, the two groups of patients were compared The median number of postoperative CT scans in BWH patients was 4 (IQR: 2-5), the median number of CT scans in UMCU patients was 0 (IQR: 0-1), and the difference was statistically significant (p 0.001) There was no significant difference in the number of second operations (BWH: 20, UMCU: 27; p-0.34) The CT scan of UMCU asexual patients did not detect a recurrence of hematoma, and the neurological function status was no worse than in Patients with BWH (p-0.43) (Tables 1, 2) Table 1 Clinical basic information for two groups of patients NA: No data; table 2 Postoperative results for both groups of patients FU: Follow-up; IQR: Quad spacing; LOS: Length of hospitalization; neuro: Nerves; pt: Patient results showed that BWH CSDH patients received more CT scans after surgery than umCU patients, but there was no difference in clinical prognosis;