PMID- 30113471
OWN - NLM
STAT- MEDLINE
DCOM- 20180824
LR  - 20210109
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Print)
IS  - 0025-7974 (Linking)
VI  - 97
IP  - 33
DP  - 2018 Aug
TI  - Burr hole drainage and burr hole drainage with irrigation to treat chronic 
      subdural hematoma: A systematic review and meta-analysis.
PG  - e11827
LID - 10.1097/MD.0000000000011827 [doi]
LID - e11827
AB  - OBJECTIVE: Numerous studies have investigated different operative procedures for 
      treating chronic subdural hematoma (CSDH); however, the results are 
      controversial. This meta-analysis was performed to evaluate the efficacy of burr 
      hole drainage without irrigation (BHD) and burr hole drainage with irrigation 
      (BHDI) for CSDH. METHODS: We searched the following electronic databases to 
      identify all studies from their inception to September 2017: Cochrane Library, 
      Science Direct, MEDLINE, EMBASE, Scopus, Google Scholar, the China Biomedical 
      Database (CBM), and the Chinese National Knowledge Infrastructure (CNKI). 
      Randomized clinical trials (RCTs), prospective cohort studies, retrospective 
      observational cohort studies, and case-control studies investigating BHD and BHDI 
      for the treatment of CSDH were included. The Cochrane Collaboration's RevMan 5.3 
      software was used for meta-analysis. RESULTS: In total, 7 retrospective cohort 
      studies and 2 RCTs involving 993 participants were included. Comprehensive 
      analysis results of 9 studies indicated that the recurrence of the BHDI was 
      similar to that in BHD (odds ratio [OR] = 1.27, 95% confidence interval 
      [CI] = .61-2.63, P = .53). Moreover, analysis for comparing recurrence in the 2 
      RCTs was not significantly different (OR = 1.14, 95% CI = .16-8.24, P = .95).In 
      addition, meta-analysis of pneumocephalus (OR = 5.91, 95% CI = .61-56.86, 
      P = .12) and mortality (OR = 0.94, 95% CI 0.14-6.16, P = .95) was not 
      significantly different. CONCLUSIONS: The results of this meta-analysis 
      demonstrated that procedures with or without irrigation in the treatment of CSDH 
      might have similar effect regarding recurrence and complications; therefore, 
      irrigation might not be necessary. However, well-conducted RCTs and high-quality 
      observational studies are still required to corroborate this issue.
FAU - Yuan, Ye
AU  - Yuan Y
AD  - Department of Neurosurgery Institute of Hematology, Union Hospital, Tongji 
      Medical College, Huazhong University of Science and Technology, Wuhan Department 
      of Neurosurgery, The First Affiliated Hospital of Henan University of Science and 
      Technology, Luoyang, China Faculty of Medicine, Vilnius University, Vilnius, 
      Lithuania.
FAU - Wang, Qiang-Ping
AU  - Wang QP
FAU - Cao, Yu-Lin
AU  - Cao YL
FAU - Zhang, Hongri
AU  - Zhang H
FAU - Burkutally, Mohammad Shah Nayaz
AU  - Burkutally MSN
FAU - Budryte, Kamile
AU  - Budryte K
FAU - Xiong, Nanxiang
AU  - Xiong N
LA  - eng
PT  - Journal Article
PT  - Meta-Analysis
PT  - Review
PT  - Systematic Review
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
SB  - IM
MH  - Adult
MH  - Drainage/*methods
MH  - Female
MH  - Hematoma, Subdural, Chronic/*therapy
MH  - Humans
MH  - Male
MH  - Observational Studies as Topic
MH  - Retrospective Studies
MH  - Therapeutic Irrigation/methods
MH  - Treatment Outcome
PMC - PMC6113043
COIS- The authors report no conflicts of interest.
EDAT- 2018/08/17 06:00
MHDA- 2018/08/25 06:00
PMCR- 2018/08/17
CRDT- 2018/08/17 06:00
PHST- 2018/08/17 06:00 [entrez]
PHST- 2018/08/17 06:00 [pubmed]
PHST- 2018/08/25 06:00 [medline]
PHST- 2018/08/17 00:00 [pmc-release]
AID - 00005792-201808170-00022 [pii]
AID - MD-D-17-06705 [pii]
AID - 10.1097/MD.0000000000011827 [doi]
PST - ppublish
SO  - Medicine (Baltimore). 2018 Aug;97(33):e11827. doi: 10.1097/MD.0000000000011827.