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KMID : 1143720100060010048
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Korean Journal of Neurotrauma
2010 Volume.6 No. 1 p.48 ~ p.52
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The Effect of Early Mobilization for the Patients of Chronic Subdural Hematoma after Closed Drainage Surgery
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Oh Ji-Woong
Whang Kum
Pyen Jhin-Soo
Jung Hyun-Ho
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Abstract
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Objective: The purpose of this study is to evaluate the effect of early mobilization for the patients of chronic subdural hematoma after closed drainage.
Methods: From May 2007 to March 2010, 58 patients with the chronic subdural hematoma treated by closed drainage surgery were included for this study. They were divided into early (EM) and delayed mobilization (DeM) group. We defined the EM group as not only an upright position but also ambulation at the day of operation. And then we evaluated the reoperation rates, duration of hospitalization, cost, postoperative subdural space and complications in each groups.
Results: Among 58 patients, 15 were EM and the others, 43, were DeM. Duration of hospitalization for EM was shorter than that for DeM about 12days (p=0.006). Reoperation rates in EM was 13% and that for DeM was 22%, but it did not show significant difference (p=0.336). Medical cost of DeM was higher than EM. Postoperative subdural space of EM was 10.03 mm, and that of DeM 10.24 mm, which did not showed any significance. And complications, such as pneumonia, ulcer, deep vein thrombosis, were developed in DeM.
Conclusion: EM after closed drainage for chronic subdural hematoma patients showed shorter duration of hospitalization than DeM, also lower cost and fewer complications. And there were no difference between two groups in reoperation rates. EM was better postoperative management methods than DeM after closed drainage.
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KEYWORD
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Early mobilization, Delayed mobilization, Chronic subdural hematoma
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