Evidence map›Paper›PMID 42453517›Full record

ArticleTzu chi medical journal

Early surgical decompression results in favorable outcomes in elderly patients with severe traumatic brain injury.

Yi-Shiuan Lin, Yang-Xing-Zhen Gao, Pin-Han Huang, Kuan-Pin Chen, Sheng-Tzung Tsai, Chien-Hsing Wang

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Article in Tzu chi medical journal. 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
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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

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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.

No citing paper in PubMed yet.

4 · The record

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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.

Yi-Shiuan Lin *School of Medicine, Tzu Chi University, Hualian, Taiwan.
Yang-Xing-Zhen Gao *School of Medicine, Tzu Chi University, Hualian, Taiwan.
Pin-Han Huang *School of Medicine, Tzu Chi University, Hualian, Taiwan.
Kuan-Pin ChenSchool of Medicine, Tzu Chi University, Hualian, Taiwan.
Sheng-Tzung TsaiSchool of Medicine, Tzu Chi University, Hualian, Taiwan.
Chien-Hsing WangSchool of Medicine, Tzu Chi University, Hualian, Taiwan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: This study aimed to assess the impact of distinct treatment modalities on outcomes in patients with moderate-to-severe traumatic brain injury (TBI). Materials and Methods: This retrospective single-center study analyzed 228 patients with moderate-to-severe TBI (Glasgow Coma Scale [GCS] 3-12) admitted to Hualien Tzu Chi Hospital from 2017 to 2019. Patients were grouped by age (<65 or ≥65) and GCS (3-8 or 9-12). Four treatment strategies were assessed: decompressive craniectomy (DC), craniotomy, intracranial pressure (ICP) monitoring alone, and conservative management. Outcomes included hospital length of stay (LOS), ICU duration, and mortality. Statistical analyses included Kaplan-Meier survival curves, Log-rank tests, Gehan-Breslow Wilcoxon tests, and Kruskal-Wallis tests. Results: In Group 1 ( Conclusion: Early DC and ICP monitoring substantially improve survival and aggravation in elderly patients with severe TBI, underscoring their critical role in outcome optimization.

Indexed as

Decompressive craniectomyDelayed intracerebral hemorrhageEarly surgical decompressionElderly patientsTraumatic brain injury

Identifiers

PMID42453517
PMCPMC13367606

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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.