Subdural hematomas in chronic dialysis patients: significant and increasing.

Clin J Am Soc Nephrol

Department of Medicine, Medical College of Wisconsin, 9200 W. Wisconsin Avenue, Milwaukee, WI 53226, USA.

Published: September 2007

AI Article Synopsis

  • Subdural hematoma is a significant complication that occurs more frequently in long-term hemodialysis patients, with a rate ten times higher than the general population.
  • Between 1991 and 2002, the occurrence of subdural hematoma in hemodialysis patients doubled, while rates for peritoneal dialysis patients remained unchanged.
  • The increase in subdural hematoma cases may be linked to the rising use of anticoagulants among long-term hemodialysis patients.

Article Abstract

Background And Objectives: Subdural hematoma is a known complication of long-term hemodialysis.

Design, Setting, Participants, And Measurements: The US Renal Data System was used to determine the occurrence rate of nontraumatic subdural hematoma in long-term dialysis patients and to evaluate time trends.

Results: The occurrence rate of subdural hematoma in long-term dialysis patients is 10 times higher than that of the general population. From 1991 to 2002, the occurrence rate of subdural hematoma in hemodialysis patients doubled, whereas it did not change in peritoneal dialysis patients.

Conclusions: This high occurrence rate of subdural hematoma and its recent increase may be related to increased use of anticoagulants in long-term hemodialysis patients.

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Source
http://dx.doi.org/10.2215/CJN.03781106DOI Listing

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