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Long-term postoperative prognosis and associated risk factors of chronic subdural hematoma in the elderly
http://hdl.handle.net/10129/0002000943
http://hdl.handle.net/10129/0002000943129ecc2c-6694-4bbb-88f7-d232c22a2bc7
| 名前 / ファイル | ライセンス | アクション |
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本文 (1009 KB)
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内容要旨 (184 KB)
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審査要旨 (234 KB)
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| アイテムタイプ | リポジトリ登録用アイテムタイプ（シンプル）(1) | |||||||
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| 公開日 | 2025-06-19 | |||||||
| タイトル | ||||||||
| タイトル | Long-term postoperative prognosis and associated risk factors of chronic subdural hematoma in the elderly | |||||||
| 言語 | en | |||||||
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| 言語 | eng | |||||||
| 資源タイプ | ||||||||
| 資源タイプ識別子 | http://purl.org/coar/resource_type/c_db06 | |||||||
| 資源タイプ | doctoral thesis | |||||||
| アクセス権 | ||||||||
| アクセス権 | open access | |||||||
| アクセス権URI | http://purl.org/coar/access_right/c_abf2 | |||||||
| 著者 |
木下, 翔平
× 木下, 翔平
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| 内容記述タイプ | Abstract | |||||||
| 内容記述 | Surgical treatment for chronic subdural hematoma（CSDH）has contributed to good outcome. However, several recent studies have revealed that surgical outcomes for elderly patients were not decisively good. In this study, prognosis of CSDH patients in elderly were analyzed. This study included 232 CSDH patients who were treated in our department and 2 affiliated hospitals, and poor prognosis was defined as aggravation of modified Rankin scale (mRS) at examination comparing with that at discharge, or mRS 3 and higher at examination. We collected data from medical records and questionnaires on the following clinical characteristics of patients: age, sex, findings at admission, medication of antiplatelets and anticoagulants, radiological findings on computed tomography, recurrence, place of discharge, perioperative systemic complications, and mRS at discharge and at examination. The cut-off value of age for poor prognosis of all CSDH patients was 74 years old in this study. In multivariate analysis of all cases, age was prognostic factor for poor outcome:75 years old or higher（p=0.0002）. In this group, mRS at discharge(p=0.0184) and postoperative medical diseases(p<0.0001) were the risk factors of poor prognosis. In this present study, high age and activities of daily life（ADL） at discharge were significant prognostic factors for poor outcome of CSDH. Improvement of ADL at discharge with care for postoperative systemic complications and careful rehabilitation can contribute to good prognosis for CSDH in elderly patients. | |||||||
| 言語 | en | |||||||
| 内容記述 | ||||||||
| 内容記述タイプ | Other | |||||||
| 内容記述 | Author: Shohei Kinoshita,Hiroki Ohkuma,Nozomi Fujiwara,Kosuke Katayama,Masato Naraoka,Norihito Shimamura,Hidefumi Tabata,Atsuhito Takemura,Seiko Hasegawa,Atsushi Saito Publication: Clinical Neurology and Neurosurgery Publisher: Elsevier Date: August 2024 © 2024 Elsevier B.V. All rights reserved. |
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| 言語 | en | |||||||
| 書誌情報 |
en : Clinical Neurology and Neurosurgery 巻 243, p. 108186 |
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| 収録物識別子タイプ | EISSN | |||||||
| 収録物識別子 | 1872-6968 | |||||||
| DOI | ||||||||
| 関連タイプ | isVersionOf | |||||||
| 識別子タイプ | DOI | |||||||
| 関連識別子 | https://doi.org/10.1016/j.clineuro.2024.108186 | |||||||
| 権利情報 | ||||||||
| 権利情報 | © 2024. This manuscript version is made available under the CC-BY-NC-ND 4.0 license https://creativecommons.org/licenses/by-nc-nd/4.0/ | |||||||
| 言語 | en | |||||||
| 出版タイプ | ||||||||
| 出版タイプ | NA | |||||||
| 出版タイプResource | http://purl.org/coar/version/c_be7fb7dd8ff6fe43 | |||||||
| 出版者 | ||||||||
| 出版者 | ELSEVIER | |||||||
| 言語 | en | |||||||
| 学位名 | ||||||||
| 学位名 | 博士（医学） | |||||||
| 言語 | ja | |||||||
| 学位授与機関 | ||||||||
| 学位授与機関名 | 弘前大学 | |||||||
| 言語 | ja | |||||||
| 学位授与年月日 | ||||||||
| 学位授与年月日 | 2025-03-24 | |||||||
| 学位授与番号 | ||||||||
| 学位授与番号 | 甲第2326号 | |||||||
