ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2021
Incidence and risk factors of early postoperative complications in patients after decompressive craniectomy: a 5-year experience.
Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Scalp incision technique for decompressive hemicraniectomy: comparative systematic review and meta-analysis of the reverse question mark versus alternative retroauricular and Kempe incision techniques.Neurosurgical review · 2024Pooled it
- Clinical Analysis of causes and preventive measures of complications after decompressive craniectomy for Craniocerebral Trauma.Pakistan journal of medical sciences · 2025Article
- Comparison of midline shift and ventricular size measured by transcranial ultrasound and non-contrast computed tomography in patients with acute subdural hemorrhage undergoing decompressive craniectomy: A prospective observational study.Surgical neurology international · 2025Article
- [Focus on neurosurgical intensive care medicine 2022-2024 : Summary of selected studies in intensive care medicine].Die Anaesthesiologie · 2024Article
- Establishment of a model to predict mortality after decompression craniotomy for traumatic brain injury.Brain and behavior · 2024Article
- Craniectomy size and decompression of the temporal base using the altered posterior question-mark incision for decompressive hemicraniectomy.Scientific reports · 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
- Craniotomy size for traumatic acute subdural hematomas in elderly patients-same procedure for every age?Neurosurgical review · 2022Article
- Clinical Feature, Therapy, Antimicrobial Resistance Gene Distribution, and Outcome of Nosocomial Meningitis Induced by Multidrug-Resistant Enterobacteriaceae-A Longitudinal Cohort Study From Two Neurosurgical Centers in Northern China.Frontiers in cellular and infection microbiology · 2022Article
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Authors and funding
6 authors.
Funding
Abstract
purposeDecompressive craniectomy is an effective measure to reduce a pathologically elevated intracranial pressure. Patients' survival and life quality following this surgery have been a subject of several studies and significantly differ according to the primary diagnosis. Since this operation is often associated with a wide spectrum of possibly serious complications, we aimed to describe their incidence and possible associated risk factors.
methodsWe evaluated 118 patients who underwent decompressive craniectomy at our clinic during years 2013-2017. The indications included traumatic brain injuries, ischaemic or haemorrhagic strokes and postoperative complications of planned neurosurgical procedures. Subsequently, we assessed the incidence of early postoperative complications (occurring during the first 3 postoperative weeks). The results were statistically analysed with relation to a wide selection of possible risk factors.
resultsAt least one early surgical postoperative complication occurred in 87 (73.73%) patients, the most frequent being a development of an extraaxial fluid collection in 41 (34.75%) patients. We were able to identify risk factors linked with extraaxial fluid collections, subcutaneous and extradural haematomas, postoperative seizures and meningitis. An overall need for reoperation was 13.56%. Neither the duration of the surgery nor the qualification of the operating surgeon had any effect on the complications' occurrence.
conclusionsDecompressive craniectomy is associated with numerous early postoperative complications with a various degree of severity. Most cases of complications can, however, be managed in a conservative way. The risk factors linked with postoperative complications should be taken into account during the indication process in each individual patient.
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