SynthesisScientific reports2017
Decompressive craniectomy in the management of intracranial hypertension after traumatic brain injury: a systematic review and meta-analysis.
Synthesis in Scientific reports, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
23 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Decompressive craniectomy for the treatment of high intracranial pressure in closed traumatic brain injury.The Cochrane database of systematic reviews · 2019Pooled it
- Perceiving traumatic brain injury from glymphatic system.Molecular psychiatry · 2025Review
- Evolution from Decompressive Craniectomy to Early Minimally Invasive Surgical Approach for Refractory Increased Intracranial Pressure Treatment: Merit or Social Problems?Turkish journal of anaesthesiology and reanimation · 2025Article
- The Effect of Ultra-Late Cranioplasty in a Patient with Long-Term Disorders of Consciousness.Brain sciences · 2024Article
- Intracranial pressure changes in traumatic brain injury patients undergoing unilateral decompressive craniectomy with dural expansion.World neurosurgery: X · 2024Article
- Telemedicine for Potential Application in Austere Military Environments: Neurosurgical Support for a Decompressive Craniectomy.Military medicine · 2024Article
- Decompressive craniectomy: A primer for acute care practitioners.Journal of the Intensive Care Society · 2024Review
- A Modern Approach to the Treatment of Traumatic Brain Injury.Medicines (Basel, Switzerland) · 2024Review
- 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
- Impact of timing of decompressive craniectomy on outcomes in pediatric traumatic brain injury.Surgical neurology international · 2023Article
- Long-Term Outcomes in Severe Traumatic Brain Injury and Associated Factors: A Prospective Cohort Study.Journal of clinical medicine · 2022Article
- Escalation therapy in severe traumatic brain injury: how long is intracranial pressure monitoring necessary?Neurosurgical review · 2021Review
- Consensus statement from the international consensus meeting on post-traumatic cranioplasty.Acta neurochirurgica · 2021Article
- Escalate and De-Escalate Therapies for Intracranial Pressure Control in Traumatic Brain Injury.Frontiers in neurology · 2020Review
- Controlled Decompression Attenuates Brain Injury in a Novel Rabbit Model of Acute Intracranial Hypertension.Medical science monitor : international medical journal of experimental and clinical research · 2019Article
- Resuscitation Strategies for Traumatic Brain Injury.Current surgery reports · 2019Article
- Classification of bone flap resorption after cranioplasty: a proposal for a computed tomography-based scoring system.Acta neurochirurgica · 2019Article
- Postoperative complications influencing the long-term outcome of head-injured patients after decompressive craniectomy.Brain and behavior · 2019Article
- The Role of Decompressive Craniectomy in the Context of Severe Traumatic Brain Injury: Summary of Results and Analysis of the Confidence Level of Conclusions From Systematic Reviews and Meta-Analyses.Frontiers in neurology · 2019Review
- Timing of Decompressive Craniectomy for Ischemic Stroke and Traumatic Brain Injury: A Review.Frontiers in neurology · 2019Review
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
We aim to perform a systematic review and meta-analysis to examine the prognostic value of decompressive craniectomy (DC) in patients with traumatic intracranial hypertension. PubMed, EMBASE, Cochrane Controlled Trials Register, Web of Science, http://clinicaltrials.gov/ were searched for eligible studies. Ten studies were included in the systematic review, with four randomized controlled trials involved in the meta-analysis, where compared with medical therapies, DC could significantly reduce mortality rate [risk ratio (RR), 0.59; 95% confidence interval (CI), 0.47-0.74, P < 0.001], lower intracranial pressure (ICP) [mean difference (MD), -2.12 mmHg; 95% CI, -2.81 to -1.43, P < 0.001], decrease the length of ICU stay (MD, -4.63 days; 95% CI, -6.62 to -2.65, P < 0.001) and hospital stay (MD, -14.39 days; 95% CI, -26.00 to -2.78, P = 0.02), but increase complications rate (RR, 1.94; 95% CI, 1.31-2.87, P < 0.001). No significant difference was detected for Glasgow Outcome Scale at six months (RR, 0.85; 95% CI, 0.61-1.18, P = 0.33), while in subgroup analysis, early DC would possibly result in improved prognosis (P = 0.04). Results from observational studies supported pooled results except prolonged length of ICU and hospital stay. Conclusively, DC seemed to effectively lower ICP, reduce mortality rate but increase complications rate, while its benefit on functional outcomes was not statistically significant.
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Registered trials
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