Journal of cerebrovascular and endovascular neurosurgery · 2026
Predicting subdural hematoma outcomes as a function of PACE score.
СтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Sindewald Ryan W, Hirshman Brian R, Hernandez Nicholas S, Forseth Kiefer J, Wali Arvin R, Brandel Michael G, Pannell Jeffrey S, Steinberg Jeffrey A, Murthy Nikhil K, Khalessi Alexander A, Santiago-Dieppa David R
Аннотация
OBJECTIVE: To investigate the relationship between the Patency after Coil Embolization (PACE) score and subdural hematoma resolution as defined by reduction in hematoma cross-sectional area.
METHODS: Patients with standalone coil middle meningeal artery embolization for subdural hematoma treatment were included in this study. Hematoma cross-sectional area (CSA) of the largest preoperative computed tomography (CT) slice and the corresponding postoperative CT slice, average Hounsfield units, and days between embolization and follow-up were recorded for each patient. A receiver operating characteristic (ROC) curve was used to determine the optimal threshold of hematoma resolution percentage at follow-up to differentiate between PACE score 0 and PACE score 1 embolizations. A multivariate logistic regression model of resolution above the calculated threshold adjusted for follow-up time, initial hematoma CSA, average Hounsfield units, and the PACE score was created.
RESULTS: A total of 43 patients with 63 hematomas (20 patients had bilateral hematomas) were included in this study. ROC curve calculated threshold for hematoma resolution was 70.9%. There were univariate statistically significant differences in follow-up time and hematoma size (p=0.021, p=0.006, respectively). In the multivariate model, the PACE score was the only statistically significant predictor of at least 70.9% hematoma resolution at follow-up.
CONCLUSIONS: The PACE score is the most statistically significant predictor of at least 70.9% hematoma resolution at follow-up.
METHODS: Patients with standalone coil middle meningeal artery embolization for subdural hematoma treatment were included in this study. Hematoma cross-sectional area (CSA) of the largest preoperative computed tomography (CT) slice and the corresponding postoperative CT slice, average Hounsfield units, and days between embolization and follow-up were recorded for each patient. A receiver operating characteristic (ROC) curve was used to determine the optimal threshold of hematoma resolution percentage at follow-up to differentiate between PACE score 0 and PACE score 1 embolizations. A multivariate logistic regression model of resolution above the calculated threshold adjusted for follow-up time, initial hematoma CSA, average Hounsfield units, and the PACE score was created.
RESULTS: A total of 43 patients with 63 hematomas (20 patients had bilateral hematomas) were included in this study. ROC curve calculated threshold for hematoma resolution was 70.9%. There were univariate statistically significant differences in follow-up time and hematoma size (p=0.021, p=0.006, respectively). In the multivariate model, the PACE score was the only statistically significant predictor of at least 70.9% hematoma resolution at follow-up.
CONCLUSIONS: The PACE score is the most statistically significant predictor of at least 70.9% hematoma resolution at follow-up.