Study of Enhanced Recovery Methods for Adults Undergoing Burr-hole Drainage to Treat Chronic Subdural Hematoma

What this Trial Is About

Chronic subdural hematoma cSDH is a type of brain bleed that mainly affects older adults and presents a growing healthcare challenge. Researchers are evaluating a new enhanced recovery protocol ERP designed to improve care for patients undergoing burr-hole drainage surgery for cSDH. This study compares the safety and effectiveness of the ERP with outcomes from previous patients treated before the protocol was introduced. The enhanced recovery protocol includes updated guidelines for choosing treatment options, such as surgery or middle meningeal artery embolization, improvements in surgical techniques, and standardized postoperative care. Patients treated after implementing the ERP are followed prospectively, while data from patients treated before the ERP are collected retrospectively for comparison. Participants will be monitored for safety by tracking recurrence of the hematoma over six months, incidence of complications, and mortality within 30 days after surgery. Effectiveness is assessed by measuring the length of hospital stay. Additional assessments include quality of life using the EQ-5D-5L and functional outcome with the modified Rankin Scale at six months. The total duration of follow-up is six months after surgery.

Implementation of an Enhanced Recovery Pathway for Burr-hole Drainage in Patients With a Chronic Subdural Hematoma