Youngoh Bae, Sung Ho Park, Hohyun Jung, Min Soo Kim
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引用次数: 0
Abstract
Background: This study assessed the long-term risk of acquired hydrocephalus in individuals with head trauma to identify time-specific risk patterns and to evaluate high-risk subgroups using a nationwide cohort in South Korea.
Methods: Data from the Korean National Health Insurance Service cohort (2005-2013) were analyzed. The study included 53,567 patients with head trauma and 535,668 matched controls. This study analyzed the incidence of hydrocephalus in patients with head trauma, and time-stratified Cox proportional hazards models were employed to calculate the adjusted hazard ratios (aHRs) for hydrocephalus across 9 years, adjusting for demographic and clinical covariates.
Results: The incidence of hydrocephalus was significantly higher in the head trauma group than in the control group (incidence rate ratio, 3.92). Male patients and those aged ≥60 years exhibited the highest risk. The risk of hydrocephalus was highest within the first 3 years after trauma and decreased gradually thereafter. Furthermore, smokers and ex-smokers were at a higher risk than nonsmokers.
Conclusions: Patients with head trauma are at a significantly higher risk of posttraumatic hydrocephalus, particularly within the first 3 years. These findings highlight the need for early monitoring and intervention. Further research is required to improve our understanding of hydrocephalus risk.
期刊介绍：
Neurochirurgie publishes articles on treatment, teaching and research, neurosurgery training and the professional aspects of our discipline, and also the history and progress of neurosurgery. It focuses on pathologies of the head, spine and central and peripheral nervous systems and their vascularization. All aspects of the specialty are dealt with: trauma, tumor, degenerative disease, infection, vascular pathology, and radiosurgery, and pediatrics. Transversal studies are also welcome: neuroanatomy, neurophysiology, neurology, neuropediatrics, psychiatry, neuropsychology, physical medicine and neurologic rehabilitation, neuro-anesthesia, neurologic intensive care, neuroradiology, functional exploration, neuropathology, neuro-ophthalmology, otoneurology, maxillofacial surgery, neuro-endocrinology and spine surgery. Technical and methodological aspects are also taken onboard: diagnostic and therapeutic techniques, methods for assessing results, epidemiology, surgical, interventional and radiological techniques, simulations and pathophysiological hypotheses, and educational tools. The editorial board may refuse submissions that fail to meet the journal''s aims and scope; such studies will not be peer-reviewed, and the editor in chief will promptly inform the corresponding author, so as not to delay submission to a more suitable journal.
With a view to attracting an international audience of both readers and writers, Neurochirurgie especially welcomes articles in English, and gives priority to original studies. Other kinds of article - reviews, case reports, technical notes and meta-analyses - are equally published.
Every year, a special edition is dedicated to the topic selected by the French Society of Neurosurgery for its annual report.
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