Evidence map›Paper›PMID 33408913›Full record

ArticleSurgical neurology international2020

Hemorrhagic complications after decompressive craniectomy.

Inamullah Khan, Ayesha Quddusi, Muhammad Waqas, Hamid Hussain Rai, Saqib Kamran Bakhshi, Muhammad Shahzad Shamim, Rashid Jooma

Open access · hybridAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Surgical neurology international, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact, top 82% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed, 1 citations in OpenAlex.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 3 countries.

Inamullah KhanDepartment of Neurological Surgery, Vanderbilt University Medical Center, Nashville, Tennessee.
Ayesha QuddusiDepartment of Neuroscience, Centre for Neuroscience, Queens University, Kingston, Ontario, Canada.
Muhammad WaqasDepartment of Neurosurgery, University at Buffalo, 40 George Karl Blvd, Williamsville, Buffalo, New York, United States.
Hamid Hussain RaiDepartment of Neurosurgery, University at Buffalo, 40 George Karl Blvd, Williamsville, Buffalo, New York, United States.
Saqib Kamran BakhshiSection of Neurosurgery, Aga Khan University Hospital, Karachi, Sindh, Pakistan.
Muhammad Shahzad ShamimDepartment of Surgery, Aga Khan University Hospital, Karachi, Sindh, Pakistan.
Rashid JoomaDepartment of Surgery, Aga Khan University Hospital, Karachi, Sindh, Pakistan.
Aga Khan University Hospital · PKUniversity at Buffalo, State University of New York · USQueen's University · CAVanderbilt University Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDecompressive craniectomy (DC) is the preferred surgical management option for lowering refractory intracranial pressure in cases of traumatic brain injury (TBI). A number of randomized controlled trials have demonstrated decreased mortality but increased morbidity following DC for TBI patients. Here, we reviewed the frequency of postoperative hemorrhagic complications following DC correlating with poor outcomes.

methodsWe retrospectively reviewed the medical records of patients who presented with TBI and underwent DC during the years 2015-2017. The frequency and characteristics of hemorrhagic complications were correlated with the patients' outcomes.

resultsThere were 74 patients with TBI included in the study who underwent DC. Of these, 31 patients developed expansion of existing hemorrhagic lesions, 13 had new contusions, three developed new extradural hemorrhages, two developed new subdural hematomas, and one patient developed an intraventricular hemorrhage. Those who developed expansion of existing hemorrhagic lesions following DC had longer ICU stays and poorer outcomes (Glasgow outcome scale).

conclusionAfter 74 DC performed in TBI patients, 67% developed new hemorrhagic lesions or expansion of previously existing hemorrhages. This finding negatively impacted clinical outcomes, including mortality.

Indexed as

Decompressive craniectomyGlasgow coma scaleRevised trauma scoreTraumatic brain injury

Identifiers

PMID33408913
PMCPMC7771395
OpenAlexW3103495993

What OpenQuestion holds

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LicenceCC BY-NC-SA
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Registered trials

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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.