Evidence map›Paper›PMID 33839825›Full record

Observational studyActa neurochirurgica. Supplement2021

Long-Term Outcome After Decompressive Craniectomy in a Developing Country.

Carla B Rynkowski, Luciano Silveira Basso, Angelos G Kolias, Marino Muxfeldt Bianchin

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in Acta neurochirurgica. Supplement, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
2.2field-weighted citation impact, top 11% 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

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. Article
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

4 authors at 3 institutions in 2 countries.

Carla B RynkowskiAdult Critical Care Unit, Hospital Cristo Redentor, Porto Alegre, Brazil. carlarynkowski@gmail.com.
Luciano Silveira BassoDepartment of Neurosurgery, Hospital Cristo Redentor, Porto Alegre, Brazil.
Angelos G KoliasNeurosurgical Division, Department of Clinical Neurosciences, University of Cambridge, Cambridge, UK.
Marino Muxfeldt BianchinB.R.A.I.N., Division of Neurology, Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil.
Faculdade Redentor · BRHospital de Clínicas de Porto Alegre · BRUniversity of Cambridge · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDecompressive craniectomy (DC) may reduce mortality but might increase the number of survivors in a vegetative state. In this study, we assessed the long-term functional outcome of patients undergoing DC in a middle-income country.

methodsThis was a prospective observational study of patients undergoing DC at a single tertiary hospital in southern Brazil between January 2015 and December 2018.

resultsOf the 125 patients who were included in this study, 57.6% (72/125) had a traumatic brain injury (TBI), 21.6% (27/125) had a stroke, 19.2% (24/125) had a cerebral hemorrhage (intracerebral or subarachnoid hemorrhage), and 0.8% (1/125) had a cerebral abscess. The mean age was 45.18 ± 19.6 years, and 71% of the patients were men. The mean initial Glasgow Coma Scale (GCS) score was 7.8 ± 3.6. The in-hospital mortality rate was 44.8% (56/125). Of the survivors, 50.7% (35/69) had a favorable outcome 6 months after DC. After multivariate analysis, a lower initial GCS score (7.5 ± 3.6 versus 8.8 ± 3.5, P = 0.007) and older age (49.7 ± 18.9 versus 33.3 ± 16.2 years, P = 0.0001) were associated with an unfavorable outcome.

conclusionSix months after DC, almost half of the patients who survive have a favorable outcome.

Indexed as

Brain Injuries, TraumaticDecompressive CraniectomyAdultAgedDeveloping CountriesHumansMaleRetrospective StudiesTreatment OutcomeDecompressive craniectomyMiddle-income countriesOutcome assessment

Identifiers

PMID33839825
OpenAlexW3153310570

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.