ArticleJournal of neurosciences in rural practice2014
The effect of craniectomy size on mortality, outcome, and complications after decompressive craniectomy at a rural trauma center.
Article in Journal of neurosciences in rural practice, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Development of Posttraumatic Hydrocephalus Requiring Ventriculoperitoneal Shunt After Decompressive Craniectomy for Traumatic Brain Injury: a Systematic Review and Meta-analysis of Retrospective Studies.Medical archives (Sarajevo, Bosnia and Herzegovina) · 2018Pooled it
- Impact of Craniectomy Size on Outcomes in Traumatic Brain Injury: A Retrospective Study at Shohadaye-Haftome-Tir Hospital, Tehran, Iran (2019-2021).Medical journal of the Islamic Republic of Iran · 2025Article
- Intracranial pressure changes in traumatic brain injury patients undergoing unilateral decompressive craniectomy with dural expansion.World neurosurgery: X · 2024Article
- Cranioplasty in Oman: Retrospective review of cases from the National Craniofacial Center 2012-2022.Sultan Qaboos University medical journal · 2024Article
- Posttraumatic hydrocephalus as a complication of decompressive craniectomy-same old story, new perspectives.Frontiers in surgery · 2024Article
- Evidence-based management of adult traumatic brain injury with raised intracranial pressure in intensive critical care unit at resource-limited settings: a literature review.Annals of medicine and surgery (2012) · 2023Review
- Article
- Recent Updates on Controversies in Decompressive Craniectomy and Cranioplasty: Physiological Effect, Indication, Complication, and Management.Korean journal of neurotrauma · 2023Review
- Size of Craniectomy Predicts Approach-Related Shear Bleeding in Poor-Grade Subarachnoid Hemorrhage.Brain sciences · 2023Article
- Complete hemispheric exposure vs. superior sagittal sinus sparing craniectomy: incidence of shear-bleeding and shunt-dependency.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
- Does the Size of Unilateral Decompressive Craniectomy Impact Clinical Outcomes in Patients with Intracranial Mass Effect after Severe Traumatic Brain Injury?Korean journal of neurotrauma · 2021Article
- Simulating Expansion of the Intracranial Space to Accommodate Brain Swelling after Decompressive Craniectomy: Volumetric Quantification in a 3D CAD Skull Model with Contour Elevation.Brain sciences · 2021Article
- Decompressive Craniectomy for Traumatic Brain Injury: In-hospital Mortality-Associated Factors.Journal of neurosciences in rural practice · 2020Article
- Primary bilateral fronto-temporoparietal decompressive craniectomy-An alternative treatment for severe traumatic brain injury: Case report and technical note.Clinical case reports · 2019Article
- Estimation of the Craniectomy Surface Area by Using Postoperative Images.International journal of biomedical imaging · 2018Article
- Clinical spectrum and radiographic features of the syndrome of the trephined.Journal of neurosciences in rural practiceArticle
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionDecompressive craniectomy (DC) has increasing support with current studies suggesting an improvement in both survival rates and outcomes with this intervention. However, questions surround this procedure; specifically, no evidence has indicated the optimal craniectomy size. Larger craniectomy is thought to better decrease intracranial pressure, but with a possible increase in complication rates. Our hypothesis is that a larger craniectomy may improve mortality and outcome, but may increase complication rates. MATERIALS AND
methodsA retrospective observational therapeutic study was undertaken to determine if craniectomy size is related to complication rates, mortality, or outcome. Our institution's Trauma Registry was searched for patients undergoing DC. Craniectomy size was measured by antero-posterior (AP) diameter. Mortality, outcome (through admission and discharge Glasgow Coma Score and Glasgow Outcome Scale), and complications (such as re-bleeding, re-operation, hygroma, hydrocephalus, infection, and syndrome of the trephined) were noted. Complications, mortality, and outcome were then compared to craniectomy size, to determine if any relation existed to support our hypothesis.
results20 patients met criteria for inclusion in this study. Craniectomy size as measured by AP diameter was correlated with a statistically significant improvement in mortality within the group. All patients with a craniectomy size less than 10 cm died. However, outcome was not significantly related to craniectomy size in the group. Similarly, complication rates did not differ significantly compared to craniectomy size. DISCUSSION: This study provides Level 3 evidence that craniectomy size may be significantly related to improved mortality within our group, supporting our initial hypothesis; however, no significant improvement in outcome was seen. Similarly, in contrast to our hypothesis, complication rates did not significantly correlate with craniectomy size.
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