Decompressive craniectomy in neurocritical care

Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia
Jia-Wei WangQi-Huang Zhao

Abstract

Recently, several randomized controlled trials (RCT) investigating the effectiveness of decompressive craniectomy in the context of neurocritical illnesses have been completed. Thus, a meta-analysis to update the current evidence regarding the effects of decompressive craniectomy is necessary. We searched PUBMED, EMBASE and the Cochrane Central Register of Controlled Trials. Other sources, including internet-based clinical trial registries and grey literature, were also searched. After searching the literature, two investigators independently performed literature screening, assessing the quality of the included trials and extracting the data. The outcome measures included the composite outcome of death or dependence and the risk of death. Ten RCT were included: seven RCT were on malignant middle cerebral artery infarction (MCAI) and three were on severe traumatic brain injury (TBI). Decompressive craniectomy significantly reduced the risk of death for patients suffering malignant MCAI (risk ratio [RR] 0.46, 95% confidence interval [CI]: 0.36-0.59, P<0.00001) in comparison with no reduction in the risk of death for patients with severe TBI (RR: 0.83, 95% CI: 0.48-1.42, P=0.49). However, there was no significant difference in the...Continue Reading

References

Apr 18, 2001·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·A TaylorJ Tibballs
Feb 17, 2007·Lancet Neurology·Katayoun VahediUNKNOWN DECIMAL, DESTINY, and HAMLET investigators
Aug 11, 2007·Stroke; a Journal of Cerebral Circulation·Eric JüttlerUNKNOWN DESTINY Study Group
Dec 11, 2007·Intensive Care Medicine·Nino StocchettiKatia Canavesi
Jun 3, 2008·Neurologic Clinics·Leonardo Rangel-CastillaClaudia S Robertson
Sep 30, 2009·The American Journal of Occupational Therapy : Official Publication of the American Occupational Therapy Association·Min-Mei ShihMargo B Holm
Feb 11, 2012·Current Opinion in Critical Care·Katja E Wartenberg
Jul 25, 2012·Annals of Surgery·Belinda J GabbePeter A Cameron
Aug 24, 2012·Current Opinion in Anaesthesiology·Dhuleep S WijayatilakePeter B Sherren
Feb 8, 2013·The Neuroscientist : a Review Journal Bringing Neurobiology, Neurology and Psychiatry·Antonio Di IevaMichael D Cusimano
Oct 9, 2013·Current Neurology and Neuroscience Reports·Leif-Erik Bohman, James M Schuster
Jan 16, 2014·Stroke; a Journal of Cerebral Circulation·Jeffrey I FrankUNKNOWN HeADDFIRST Trialists
Mar 22, 2014·The New England Journal of Medicine·Eric JüttlerUNKNOWN DESTINY II Investigators
Apr 15, 2014·International Journal of Stroke : Official Journal of the International Stroke Society·Hermann Neugebauer, Eric Jüttler
Sep 4, 2014·The New England Journal of Medicine·Nino Stocchetti, Andrew I R Maas

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Citations

Jul 12, 2017·Journal of Korean Neurosurgical Society·Tack Geun ChoJin Seo Yang
Aug 15, 2020·Journal of Neurotrauma·Lynne MooreAlexis F Turgeon
May 23, 2020·Journal of Anesthesia·Theodoros SchizodimosNikos Kapravelos
Feb 15, 2017·Acta Anaesthesiologica Scandinavica·G M JonsdottirK Sigvaldason
Mar 23, 2017·Neurosurgery·Rafael De la Garza RamosDaniel M Sciubba
May 5, 2021·World Neurosurgery·Rimantas VilcinisArimantas Tamasauskas
Jan 2, 2021·Neurocirugía·Francisco Ortuño AndérizAntonio Blesa Malpica

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