ArticleSurgical neurology international2016
According to which factors in severe traumatic brain injury craniectomy could be beneficial.
Article in Surgical neurology international, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- Role of decompressive craniectomy in the management of acute ischemic stroke (Review).Biomedical reports · 2024Review
- Outcomes of Traumatic Brain-Injured Patients With Glasgow Coma Scale < 5 and Bilateral Dilated Pupils Undergoing Decompressive Craniectomy.Frontiers in neurology · 2021Article
- Bone graft absorption complication following cranioplasty: A retrospective institutional study.Medicine internationalArticle
- Comparison of surgical outcomes between primary and secondary brain abscess.Medicine internationalArticle
- Acute intracranial hemorrhage during the installation of the LICOX microdialysis system: A case report.Medicine internationalArticle
- Efficacy of decompressive craniectomy: A retrospective case series study with 321 patients and an update on controversies.Medicine internationalArticle
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTo investigate the clinical outcome at 101 patients undergoing decompressive craniectomy (DC) after severe traumatic brain injury (TBI).
methodsAge, Glasgow Coma Scale (GCS) at the time of intubation, and the intraoperative intracranial pressure (ICP) were recorded. Formal DC was performed in all cases and the square surface of bone flap was calculated in cm(2) based on the length and the width from computed tomography scan.
resultsThe difference of good neurological recovery (Glasgow outcome score 4-5), between patients with ICP ≤20 mmHg, GCS ≥5, age ≤60 years, and bone flap ≥130 cm(2) and those with ICP >20 mmHg, GCS <5, age >60 years, and bone flap <130 cm(2), was statistically significant.
conclusionAlthough the application of DC in severe TBI is controversial and the population in this study is small, our study demonstrates the threshold of the specific factors (patient age, ICP and GCS on the day of the surgery and the size of the bone flap) which may help in the decision of performing DC. Furthermore, this study proves that the different combinations and mainly at the same time involvement of all prognostic parameters (age <60, GCS <5, bone flap ≥130 cm(2), and ICP ≤20 at time of DC surgery) allow a better outcome.
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