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Early Mobilization in Chronic Subdural Hematoma: A Systematic Review and Meta-Analysis.
Usama AlDallal1, Munashe Veremu1, Sean O'Leary2
1Department of Clinical Neurosciences, University of Cambridge, Cambridge, UK.
World Neurosurgery
|October 12, 2025
Summary
Early mobilization (EM) after chronic subdural hematoma (cSDH) surgery reduces complications without increasing recurrence. Further research is needed for conclusive evidence on optimal timing and outcomes.
Area of Science:
- Neurosurgery
- Clinical Outcomes Research
Background:
- Timing of postoperative mobilization varies for chronic subdural hematoma (cSDH) patients.
- Early mobilization (EM) may reduce complications without increasing recurrence.
Purpose of the Study:
- Evaluate the impact of early mobilization timing on complications and recurrence after cSDH surgery.
Main Methods:
- Systematic review and meta-analysis adhering to PRISMA guidelines.
- Included full-text articles comparing EM and elevated head position to conventional methods for cSDH surgical treatment.
- Searched MEDLINE and Embase databases up to December 1, 2023.
Main Results:
- Six studies (630 patients) were included; most were RCTs.
- EM group showed significantly lower complications (15.9% vs. 27.2%).
- No significant difference in recurrence rates between EM and conventional groups (11.6% vs. 6.9%).
Conclusions:
- Early mobilization decreases complications following cSDH surgery.
- EM is not associated with a higher risk of recurrence.
- Further prospective studies with larger sample sizes and clear outcome definitions are warranted.
