Retrospective analysis of nontraumatic subdural hematoma incidence and outcomes in Egyptian patients with end-stage renal disease on hemodialysis

The incidence of subdural hematoma (SDH) in chronic maintenance hemodialysis (CMH) patients may change over time, along with the evolving characteristics of the underlying populations. We conducted a retrospective, single-center study at Cairo University hospitals, assessing the incidence, associate...

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Bibliographic Details
Published in:Renal failure 2021-01, Vol.43 (1), p.1322-1328
Main Authors: Fayed, Ahmed, Tarek, Ayman, Refaat, Mohamed I., Abouzeid, Sameh, Salim, Sohail Abdul, Zsom, Lajos, Fülöp, Tibor, Soliman, Karim M., Elmallawany, Mohamed A.
Format: Article
Language:English
Subjects:
Aged
Alkaline phosphatase
Anticoagulants
Anticoagulants - therapeutic use
Atrial Fibrillation - epidemiology
Blood
Bone surgery
Brain
Cardiac arrhythmia
Clinical Study
Comorbidity
Coronary artery disease
Dura mater
Egypt - epidemiology
End-stage renal disease
Female
Fibrillation
Fractures
Heart diseases
Hematoma
Hematoma, Subdural - epidemiology
Hematoma, Subdural - etiology
Hematoma, Subdural - mortality
Hematoma, Subdural - prevention & control
Hemodialysis
Humans
Incidence
Ischemia
Kidney diseases
Kidney Failure, Chronic - mortality
Kidney Failure, Chronic - therapy
Male
Meninges
Middle Aged
Mortality
nontraumatic subdural hematoma
outcome
Parathyroid hormone
Patients
Phosphorus
Renal Dialysis - adverse effects
Renal Dialysis - mortality
Retrospective Studies
Risk Factors
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Summary:The incidence of subdural hematoma (SDH) in chronic maintenance hemodialysis (CMH) patients may change over time, along with the evolving characteristics of the underlying populations. We conducted a retrospective, single-center study at Cairo University hospitals, assessing the incidence, associated risk factors, and outcomes of nontraumatic SDH in CMH patients between January 2006 and January 2019. Out of 1217 CMH patients, nontraumatic SDH was diagnosed in 41 (3.37%) during the study, increasing with the enrollees' age but stable over the observation period and translating into an annual incidence rate of 28 per 1000 patients per year. SDH patients were likely to use central venous catheters, reported pruritis and history of bone fractures, and had higher phosphorus, parathyroid hormone, and alkaline phosphatase values (p 
ISSN:0886-022X
1525-6049
DOI:10.1080/0886022X.2021.1979038