GuidelineNeurosurgery2020
Guidelines for the Management of Severe Traumatic Brain Injury: 2020 Update of the Decompressive Craniectomy Recommendations.
Guideline in Neurosurgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 192 papers, 7 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.
A Randomized Controlled Study to Explore the Effect of Intermittent Oro-esophageal Tube Feeding on Severe Traumatic Brain Injury Patients With Tracheostomy
A Comparative-effectiveness Study on Expansion Craniotomy Versus Decompressive Craniectomy for Surgical Management of Traumatic Brain Injury in Patients With Intracranial Compartment Syndrome
Who cites it
192 citing papers in PubMed, 7 syntheses or guidelines pooled it.
- Decompressive Craniectomy with or Without Dural Closure: Systematic Review and Meta-analysis.Neurocritical care · 2025Pooled it
- Effectiveness of controlled decompression against conventional decompression methods for the management of severe traumatic brain injury patients: a meta-analysis.European journal of medical research · 2025Pooled it
- Surgical intervention in traumatic brain injury: a systematic review and meta-analysis of decompressive craniotomy.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Pooled it
- Equity considerations in clinical practice guidelines for traumatic brain injury and the criminal justice system: A systematic review.PLoS medicine · 2024Pooled 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
- Effects of early adjunctive pharmacotherapy on serum levels of brain injury biomarkers in patients with traumatic brain injury: a systematic review of randomized controlled studies.Frontiers in pharmacology · 2023Pooled it
- Hypertonic saline for traumatic brain injury: a systematic review and meta-analysis.European journal of medical research · 2022Pooled it
- Investigating the Effect of High-Dose Vitamin D3 Administration on Inflammatory Biomarkers in Patients with Moderate to Severe Traumatic Brain Injury: A Randomized Clinical Trial.Iranian journal of medical sciences · 2024Trial
- Pulsatility Index Measurement via the Submandibular Internal Carotid Artery: An Alternative to Transcranial Assessment.Neurocritical care · 2026Observational
- Neuromonitoring in the Decompressed Brain: Rethinking Physiology, Monitoring, and Thresholds After Decompressive Craniectomy.Neurocritical care · 2026Article
- Survival status, mortality predictors, and scores in patients with severe traumatic brain injury in the intensive care unit.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2026Article
- Protected-Airway Local/Regional Analgesia-Dominant Strategy Versus General Anesthesia and ICU Length of Stay in Elderly Patients with Traumatic Intracranial Hemorrhage: A Propensity Score-Matched Cohort Study.Medicina (Kaunas, Lithuania) · 2026Article
- Clinically translatable ultrasound localization microscopy reveals cerebrovascular remodelling and prognosis in patients with traumatic brain injury.Nature biomedical engineering · 2026Article
- Prognostic value of circulating neuron-specific enolase combined with erythrocyte and platelet distribution indices in patients with severe traumatic brain injury.Journal of medical biochemistry · 2026Article
- Integrated CT pipeline for automatic intracranial hemorrhage evaluation with GPT-enhanced clinical decision support.European radiology · 2026Article
- Longitudinal Diffusion MRI Characterizes Persistent Perivascular Diffusivity Asymmetry and White Matter Abnormalities After Cranioplasty for Decompressive Craniectomy.Diagnostics (Basel, Switzerland) · 2026Article
- Impact of Early Mobilization and Rehabilitation on Functional Outcomes Following Craniocerebral Gunshot Injuries.Clinical case reports · 2026Article
- A dynamic nomogram for predicting primary intraoperative brain bulge in patients with traumatic acute subdural hematoma.BMC medical imaging · 2026Article
- Decompressive craniectomy in traumatic brain injury: insights from a 15-year multicentre cohort in Sweden.Scandinavian journal of trauma, resuscitation and emergency medicine · 2026Article
- Machine-learning algorithms for detecting intracranial hemorrhage on head computed tomography.The Cochrane database of systematic reviews · 2026Article
132 more citing papers are in PubMed but not listed here.
Corrections and comments
- Commented on by
- Commented on by
- Commented on by
- Commented on by
Authors and funding
16 authors.
Funding
Abstract
When the fourth edition of the Brain Trauma Foundation's Guidelines for the Management of Severe Traumatic Brain Injury were finalized in late 2016, it was known that the results of the RESCUEicp (Trial of Decompressive Craniectomy for Traumatic Intracranial Hypertension) randomized controlled trial of decompressive craniectomy would be public after the guidelines were released. The guideline authors decided to proceed with publication but to update the decompressive craniectomy recommendations later in the spirit of "living guidelines," whereby topics are updated more frequently, and between new editions, when important new evidence is published. The update to the decompressive craniectomy chapter presented here integrates the findings of the RESCUEicp study as well as the recently published 12-mo outcome data from the DECRA (Decompressive Craniectomy in Patients With Severe Traumatic Brain Injury) trial. Incorporation of these publications into the body of evidence led to the generation of 3 new level-IIA recommendations; a fourth previously presented level-IIA recommendation remains valid and has been restated. To increase the utility of the recommendations, we added a new section entitled Incorporating the Evidence into Practice. This summary of expert opinion provides important context and addresses key issues for practitioners, which are intended to help the clinician utilize the available evidence and these recommendations. The full guideline can be found at: https://braintrauma.org/guidelines/guidelines-for-the-management-of-severe-tbi-4th-ed#/.
Indexed as
Identifiers
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.