ArticleFrontiers in neurology2025
Secondary decompressive craniectomy after severe traumatic brain injury: a retrospective cohort study.
Article in Frontiers in neurology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
3 citing papers in PubMed.
- Low-Pressure Hydrocephalus After Traumatic Brain Injury: A Case Series and Scoping Review.Journal of clinical medicine · 2026Review
- Severe trauma care: advances and future directions in diagnostic and therapeutic techniques and information technology support.Medical review (2021) · 2026Article
- A simple and aesthetically pleasing floating craniotomy: How I do it.Acta neurochirurgica · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Severe traumatic brain injury (sTBI) often results in malignant intracranial hypertension, requiring decompressive craniectomy (DC). Although guidelines emphasize adequate decompression, craniectomy size is often individualized in practice. Secondary DC may be necessary when initial decompression is insufficient. This study investigated the risk factors and outcomes associated with secondary DC in sTBI patients. Methods: We conducted a retrospective cohort study of 101 sTBI patients who underwent DC between 2021 and 2023. Patients were divided into two groups: those receiving only primary DC ( Results: Of the 101 patients who underwent DC, 85 received primary DC alone, while 16 required secondary DC. Patients in the secondary DC group had lower admission GCS scores (6.06 ± 2.95 vs. 7.88 ± 3.48, Conclusion: Secondary DC may serve as an effective salvage intervention in sTBI patients with refractory intracranial hypertension following primary DC. Although these patients present with more severe initial conditions, secondary DC did not increase the risk of complications or lead to poorer outcomes. Ensuring adequate decompression during the initial surgery may help reduce the need for secondary intervention.
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.