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Evaluation of Karnofsky Performance Scale as a Postsurgical Prognosis Criteria in Chronic Subdural Hematoma Cases: Discordance Between Clinical and Radiological Outcomes    
Yazarlar (4)
Doç. Dr. Ziya ASAN Doç. Dr. Ziya ASAN
Kırşehir Ahi Evran Üniversitesi, Türkiye
Dr. Öğr. Üyesi Sercan EROĞLU Dr. Öğr. Üyesi Sercan EROĞLU
Türkiye
Dr. Öğr. Üyesi Aydan KÖYSÜREN Dr. Öğr. Üyesi Aydan KÖYSÜREN
Türkiye
Sezai Durmaz
Türkiye
Devamını Göster
Özet
Background Chronic subdural hematoma (CSDH) may cause neurological deficits as well as adverse effects on the patient’s general health status. Although CSDH cases are diagnosed in the advanced age group with a very high rate, clinical findings may not be related only to CSDH. The aim should be related to clinical recovery rather than radiological recovery for these cases. We aimed to evaluate Karnofsky’s score as a measurement criterion of postoperative clinical outcomes in patients with CSDH. Methods Cases operated for the diagnosis of CSDH were defined retrospectively. The cases that had been operated with this diagnosis were identified by examining the institution database records. Karnofsky scores equivalent to clinical status were performed by examining patient files. Karnofsky scoring before the symptomatic period was determined and compared with the Karnofsky score belonging to the late postoperative period. The clinical and radiological findings of the preoperative and postoperative periods were compared. Independent samples t test was used to reveal the difference between the two groups. Results Data of 184 cases were evaluated. Seventy-three cases were operated on the left, 51 cases on the right, and 60 cases bilaterally with the diagnosis of CSDH. Burrhole exploration was performed in 119 cases, and a craniotomy was performed in 65 cases. Although a significant decrease in hematoma thickness was detected radiologically in cases operated with the craniotomy method, a more significant improvement was observed in Karnofsky’s score in cases operated with the burrhole method. In younger patients …
Anahtar Kelimeler
Makale Türü Özgün Makale
Makale Alt Türü Uluslararası alan indekslerindeki dergilerde yayınlanan tam makale
Dergi Adı International Clinical Neuroscience Journal
Dergi ISSN 2383-1871
Dergi Tarandığı Indeksler DOAJ, CABI, INDEX COPERNICUS, EMBASE, PROQUEST
Makale Dili İngilizce
Basım Tarihi 12-2022
Cilt No 10
Sayı 1
Sayfalar 1 / 5
Doi Numarası 10.34172/icnj.2023.03
Makale Linki http://dx.doi.org/10.34172/icnj.2023.03