ArticleCurrent trauma reports2018
The current status of decompressive craniectomy in traumatic brain injury.
Article in Current trauma reports, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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
34 citing papers in PubMed, 2 syntheses or guidelines pooled it, 69 citations in OpenAlex.
- Complications of cranioplasty in relationship to traumatic brain injury: a systematic review and meta-analysis.Neurosurgical review · 2021Pooled it
- Decompressive craniectomy for the treatment of high intracranial pressure in closed traumatic brain injury.The Cochrane database of systematic reviews · 2019Pooled it
- Trial
- Neuromonitoring in the Decompressed Brain: Rethinking Physiology, Monitoring, and Thresholds After Decompressive Craniectomy.Neurocritical care · 2026Article
- Reluctance Modulation of Structured Magnetorheological Elastomers for Wireless Biomechanical Sensing.Small (Weinheim an der Bergstrasse, Germany) · 2026Article
- Beyond the bone flap: integrating biomarkers, imaging, and emerging technologies in the surgical continuum of acute subdural hematoma (ASDH).Annals of medicine and surgery (2012) · 2026Review
- Hinge craniotomy in pediatric traumatic brain injury: a narrative review and national survey among Mexican neurosurgeons.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2026Review
- Clinical Outcomes of Hinged Craniotomy as an Alternative Surgery Technique Compared to Conventional Decompressive Craniectomy for Traumatic Brain Injury: A Systematic Review.Korean journal of neurotrauma · 2026Review
- Malignant Cerebral Edema After Cranioplasty: A Case Report and Literature Insights.The American journal of case reports · 2025Review
- Decompressive Craniectomy and Hinged Craniotomy for Traumatic Brain Injury: Experience in Two Centers in a Middle-Income Country.Korean journal of neurotrauma · 2024Article
- A ten-year retrospective analysis of decompressive craniectomy or craniotomy after severe brain injury and its implications for donation after brain death.Scientific reports · 2024Article
- Neuroprotection: Surgical approaches in traumatic brain injury.Surgical neurology international · 2024Review
- [Traumatic brain injury].Der Nervenarzt · 2023Article
- Hinge craniotomy versus standard decompressive hemicraniectomy: an experimental preclinical comparative study.Acta neurochirurgica · 2023Article
- Article
- Hinge craniotomy as an alternative technique for patients with refractory intracranial hypertension.Brain & spine · 2023Article
- Advances in Antibody-Based Therapeutics for Cerebral Ischemia.Pharmaceutics · 2022Review
- Second- and Third-Tier Therapies for Severe Traumatic Brain Injury.Journal of clinical medicine · 2022Review
- The Application of Guideline-Based Care for Traumatic Brain and Spinal Cord Injury in Low- and Middle-Income Countries: A Provider-Based Survey.World neurosurgery: X · 2022Article
- Improvement in neurological outcome and brain hemodynamics after late cranioplasty.Acta neurochirurgica · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
11 authors at 8 institutions in 7 countries.
Funding
Abstract
purposeThis review describes the evidence base that has helped define the role of decompressive craniectomy (DC) in the management of patients with traumatic brain injury (TBI). RECENT
findingsThe publication of two randomized trials (DECRA and RESCUEicp) has strengthened the evidence base. The DECRA trial showed that neuroprotective bifrontal DC for moderate intracranial hypertension is not helpful, whereas the RESCUEicp trial found that last-tier DC for severe and refractory intracranial hypertension can significantly reduce the mortality rate but is associated with a higher rate of disability. These findings have reopened the debate about 1) the indications for DC in various TBI subtypes, 2) alternative techniques (e.g. hinge craniotomy), 3) optimal time and material for cranial reconstruction, and 4) the role of shared decision-making in TBI care. Additionally, the role of primary DC when evacuating an acute subdural hematoma is currently undergoing evaluation in the context of the RESCUE-ASDH randomized trial. SUMMARY: This review provides an overview of the current evidence base, discusses its limitations and presents a global perspective on the role of DC, as there is growing recognition that attention should also focus on low- and middle-income countries due to their much greater TBI burden.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.