The University of Southampton
University of Southampton Institutional Repository

Proposal for a prospective multi-centre audit of chronic subdural haematoma management in the United Kingdom and Ireland

Proposal for a prospective multi-centre audit of chronic subdural haematoma management in the United Kingdom and Ireland
Proposal for a prospective multi-centre audit of chronic subdural haematoma management in the United Kingdom and Ireland
Background: chronic subdural haematoma (CSDH) is a common condition that increases in incidence with rising age. Evacuation of a CSDH is one of the commonest neurosurgical procedures; however the optimal peri-operative management, surgical technique, post-operative care and the role of adjuvant therapies remain controversial.

Aim: we propose a prospective multi-centre audit in order to establish current practices, outcomes and national benchmarks for future studies.

Methods: neurosurgical units (NSU) in the United Kingdom and Ireland will be invited to enrol patients to this audit. All adult patients aged 16 years and over with a primary or recurrent CSDH will be eligible for inclusion.

Outcome measures and analysis: the proposed outcome measures are (1) clinical recurrence requiring re-operation within 60 days; (2) modified Rankin scale (mRS) score at discharge from NSU; (3) morbidity and mortality in the NSU; (4) destination at discharge from NSU and (5) length of stay in the NSU. Audit standards have been derived from published systematic reviews and a recent randomised trial. The proposed standards are clinical recurrence rate < 20%; unfavourable mRS (4–6) at discharge from NSU < 30%; mortality rate in NSU < 5%; morbidity rate in NSU < 10%. Data will be submitted directly into a secure online database and analysed by the study's management group.

Conclusions: the audit will determine the contemporary management and outcomes of patients with CSDH in the United Kingdom and Ireland. It will inform national guidelines, clinical practice and future studies in order to improve the outcome of patients with CSD


0268-8697
1-5
Coulter, Ian C.
bd40a01e-c668-430b-aff3-38a14cb6e2fa
Kolias, Angelos G.
aef2742e-e557-43a3-9d48-1a269bc5814e
Marcus, Hani J.
c01be349-c698-442e-9033-9be3ab167659
Ahmed, Aminul I.
175a1358-5255-4f20-8cf9-96fac237bc9f
Alli, Saira
1002170e-b156-4680-a344-7106ea21a2aa
Al-Mahfoudh, Rafid
ff27ea9c-5be4-4613-a531-91c474d75633
Borg, Anouk
fa7fd2cc-14ad-47ae-94c4-7213b998ab1f
Cowie, Christopher J. A.
3efd5fc1-158f-48e3-83e3-de100af5e6e1
Hill, Ciaran S.
0f3f049a-80d9-491d-b126-d3f1555e253e
Joannides, Alexis J.
bb16a2be-f010-4bd7-80f8-4884a7e23728
Jones, Timothy L.
f12fb68b-4bae-4520-8e0c-e87e96459eb4
Kailaya-Vasan, Ahilan
7edd0321-cbaa-4e10-966d-16bd3a348e11
Livermore, James L.
ec17e131-89b5-4516-9c7d-7e9c98ecc493
Narayanamurthy, Harsha
fd473eb3-60c5-41da-87bb-31b24ea5c186
Ngoga, Desire
df92fcc9-1aec-4157-96f4-0bfd737dfcd8
Shapey, Jonathan
9043b2a2-b443-474e-ba16-22d7eeb8ed7b
Tarnaris, Andrew
4459c78b-55f1-49e8-8357-b254a22782b5
Gregson, Barbara A.
900f57a9-6682-4d85-89d8-7cde08c6e400
Gray, William P.
f34a0e23-3cba-4b0a-8676-a1b2c3e4c095
Nelson, Richard J.
ac1af8c9-dbd6-4512-b997-6d9d0a3caa32
Hutchinson, Peter J.
93971aed-08a7-41e2-aa9c-1654d9b11cd9
Brennan, Paul M.
4b122eac-423c-4ba8-a73a-915a64d490cb
Coulter, Ian C.
bd40a01e-c668-430b-aff3-38a14cb6e2fa
Kolias, Angelos G.
aef2742e-e557-43a3-9d48-1a269bc5814e
Marcus, Hani J.
c01be349-c698-442e-9033-9be3ab167659
Ahmed, Aminul I.
175a1358-5255-4f20-8cf9-96fac237bc9f
Alli, Saira
1002170e-b156-4680-a344-7106ea21a2aa
Al-Mahfoudh, Rafid
ff27ea9c-5be4-4613-a531-91c474d75633
Borg, Anouk
fa7fd2cc-14ad-47ae-94c4-7213b998ab1f
Cowie, Christopher J. A.
3efd5fc1-158f-48e3-83e3-de100af5e6e1
Hill, Ciaran S.
0f3f049a-80d9-491d-b126-d3f1555e253e
Joannides, Alexis J.
bb16a2be-f010-4bd7-80f8-4884a7e23728
Jones, Timothy L.
f12fb68b-4bae-4520-8e0c-e87e96459eb4
Kailaya-Vasan, Ahilan
7edd0321-cbaa-4e10-966d-16bd3a348e11
Livermore, James L.
ec17e131-89b5-4516-9c7d-7e9c98ecc493
Narayanamurthy, Harsha
fd473eb3-60c5-41da-87bb-31b24ea5c186
Ngoga, Desire
df92fcc9-1aec-4157-96f4-0bfd737dfcd8
Shapey, Jonathan
9043b2a2-b443-474e-ba16-22d7eeb8ed7b
Tarnaris, Andrew
4459c78b-55f1-49e8-8357-b254a22782b5
Gregson, Barbara A.
900f57a9-6682-4d85-89d8-7cde08c6e400
Gray, William P.
f34a0e23-3cba-4b0a-8676-a1b2c3e4c095
Nelson, Richard J.
ac1af8c9-dbd6-4512-b997-6d9d0a3caa32
Hutchinson, Peter J.
93971aed-08a7-41e2-aa9c-1654d9b11cd9
Brennan, Paul M.
4b122eac-423c-4ba8-a73a-915a64d490cb

Coulter, Ian C., Kolias, Angelos G., Marcus, Hani J., Ahmed, Aminul I., Alli, Saira, Al-Mahfoudh, Rafid, Borg, Anouk, Cowie, Christopher J. A., Hill, Ciaran S., Joannides, Alexis J., Jones, Timothy L., Kailaya-Vasan, Ahilan, Livermore, James L., Narayanamurthy, Harsha, Ngoga, Desire, Shapey, Jonathan, Tarnaris, Andrew, Gregson, Barbara A., Gray, William P., Nelson, Richard J., Hutchinson, Peter J. and Brennan, Paul M. (2013) Proposal for a prospective multi-centre audit of chronic subdural haematoma management in the United Kingdom and Ireland. British Journal of Neurosurgery, 1-5. (doi:10.3109/02688697.2013.835378). (PMID:24053314)

Record type: Article

Abstract

Background: chronic subdural haematoma (CSDH) is a common condition that increases in incidence with rising age. Evacuation of a CSDH is one of the commonest neurosurgical procedures; however the optimal peri-operative management, surgical technique, post-operative care and the role of adjuvant therapies remain controversial.

Aim: we propose a prospective multi-centre audit in order to establish current practices, outcomes and national benchmarks for future studies.

Methods: neurosurgical units (NSU) in the United Kingdom and Ireland will be invited to enrol patients to this audit. All adult patients aged 16 years and over with a primary or recurrent CSDH will be eligible for inclusion.

Outcome measures and analysis: the proposed outcome measures are (1) clinical recurrence requiring re-operation within 60 days; (2) modified Rankin scale (mRS) score at discharge from NSU; (3) morbidity and mortality in the NSU; (4) destination at discharge from NSU and (5) length of stay in the NSU. Audit standards have been derived from published systematic reviews and a recent randomised trial. The proposed standards are clinical recurrence rate < 20%; unfavourable mRS (4–6) at discharge from NSU < 30%; mortality rate in NSU < 5%; morbidity rate in NSU < 10%. Data will be submitted directly into a secure online database and analysed by the study's management group.

Conclusions: the audit will determine the contemporary management and outcomes of patients with CSDH in the United Kingdom and Ireland. It will inform national guidelines, clinical practice and future studies in order to improve the outcome of patients with CSD


Full text not available from this repository.

More information

e-pub ahead of print date: September 2013
Organisations: Faculty of Medicine

Identifiers

Local EPrints ID: 359924
URI: http://eprints.soton.ac.uk/id/eprint/359924
ISSN: 0268-8697
PURE UUID: c15114ed-aaa7-4e36-82f9-a26ffd4c72c8

Catalogue record

Date deposited: 18 Nov 2013 08:34
Last modified: 16 Jul 2019 21:17

Export record

Altmetrics

Contributors

Author: Ian C. Coulter
Author: Angelos G. Kolias
Author: Hani J. Marcus
Author: Aminul I. Ahmed
Author: Saira Alli
Author: Rafid Al-Mahfoudh
Author: Anouk Borg
Author: Christopher J. A. Cowie
Author: Ciaran S. Hill
Author: Alexis J. Joannides
Author: Timothy L. Jones
Author: Ahilan Kailaya-Vasan
Author: James L. Livermore
Author: Harsha Narayanamurthy
Author: Desire Ngoga
Author: Jonathan Shapey
Author: Andrew Tarnaris
Author: Barbara A. Gregson
Author: William P. Gray
Author: Richard J. Nelson
Author: Peter J. Hutchinson
Author: Paul M. Brennan

University divisions

Download statistics

Downloads from ePrints over the past year. Other digital versions may also be available to download e.g. from the publisher's website.

View more statistics

Atom RSS 1.0 RSS 2.0

Contact ePrints Soton: eprints@soton.ac.uk

ePrints Soton supports OAI 2.0 with a base URL of http://eprints.soton.ac.uk/cgi/oai2

This repository has been built using EPrints software, developed at the University of Southampton, but available to everyone to use.

We use cookies to ensure that we give you the best experience on our website. If you continue without changing your settings, we will assume that you are happy to receive cookies on the University of Southampton website.

×