Evidence map›Paper›PMID 38213457›Full record

ArticleSurgical neurology international2023

Impact of timing of decompressive craniectomy on outcomes in pediatric traumatic brain injury.

Laszlo Nagy, Ryan D Morgan, Reagan A Collins, Abdurrahman F Kharbat, John Garza, Muhittin Belirgen

Open access · hybridAbstract read
In one paragraph

Article in Surgical neurology international, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 15% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Decompressive craniectomy in pediatric patients with traumatic brain injury: an up to date comprehensive review.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2026
    Pooled it
  2. Long-term functional outcomes following pediatric decompressive craniectomy for traumatic brain injury.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2026
    Article
  3. Article
  4. Observational
  5. Article
  6. 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

6 authors at 3 institutions in 1 country.

Laszlo NagyDepartment of Pediatrics, Texas Tech University Health Sciences Center, Lubbock, Texas, United States.
Ryan D MorganSchool of Medicine, Texas Tech University Health Sciences Center, Lubbock, Texas, United States.
Reagan A CollinsSchool of Medicine, Texas Tech University Health Sciences Center, Lubbock, Texas, United States.
Abdurrahman F KharbatDepartment of Neurosurgery, University of Oklahoma, Oklahoma City, Oklahoma, United States.
John GarzaDepartment of Mathematics, University of Texas Permian Basin, Odessa, Texas, United States.
Muhittin BelirgenDepartment of Pediatrics, Texas Tech University Health Sciences Center, Lubbock, Texas, United States.
Texas Tech University Health Sciences Center · USTexas Tech University · USUniversity of Oklahoma · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Decompressive craniectomy (DC) can be utilized in the management of severe traumatic brain injury (TBI). It remains unclear if timing of DC affects pediatric patient outcomes. Further, the literature is limited in the risk assessment and prevention of complications that can occur post DC. Methods: This is a retrospective review over a 10-year period across two medical centers of patients ages 1 month-18 years who underwent DC for TBI. Patients were stratified as acute (<24 h) and subacute (>24 h) based on timing to DC. Primary outcomes were Glasgow outcome scale (GOS) at discharge and 6-month follow-up as well as complication rates. Results: A total of 47 patients fit the inclusion criteria: 26 (55.3%) were male with a mean age of 7.87 ± 5.87 years. Overall, mortality was 31.9% ( Conclusion: Although patients selected for the early DC had more severe injuries at presentation, there was no difference in outcomes. The optimal timing of DC requires a multifactorial approach considered on a case-by-case basis.

Indexed as

CranioplastyDecompressive craniectomyPosttraumatic hydrocephalusTraumatic brain injury

Identifiers

PMID38213457
PMCPMC10783660
OpenAlexW4390106266

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.