Decompressive Craniectomy (DC) - Comparative Study of 30-Day Mortality in Surgeries of Severe Brain Trauma with Subdural Hematoma, with and without DC
| Autor: | Lucas Eduardo Bonadio, Vitor Hugo Boer, Celso Itiberê Bernardes, Luis Renato Mello, Danielle de Lara, Stephanie Lindner, Filipe Cabral, Leandro José Haas, Gabriel Hoher Peres |
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| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment lcsh:Surgery lcsh:Medicine acute subdural hematoma Lesion Hematoma Midline shift Outcome predictor medicine Brain trauma decompressive craniectomy business.industry lcsh:R lcsh:RD1-811 medicine.disease mortality Surgery 30 day mortality Anesthesia Decompressive craniectomy Neurology (clinical) medicine.symptom business Acute subdural hematoma |
| Zdroj: | Brazilian Neurosurgery, Vol 36, Iss 01, Pp 21-25 (2017) |
| ISSN: | 2359-5922 0103-5355 |
| Popis: | Objective Compare 30 days mortality of patients harboring acute subdural hematomas in two series, one treated only by wide aspiration of hematoma and other with aspiration followed by decompressive craniectomy. Methods Comparing retrospectively two series of ASD with and without DC. Involved 81 TBI patients with acute subdural hematoma and GCS ≤ 8 (Jan 2000 to Nov 2014) arranged into two groups. Group 1 - 58 cases underwent to DC. Group 2 - 23 patients underwent only hematoma aspiration. Results Group 1 showed 44.8% mortality directly due to brain lesion within 30 days. The most frequent associated lesion were contusion in 37.2%. Group 2 the mortality within 30 days was 47.8%. The majority of deaths (82%) resulted from uncontrollable brain swelling, midline shift was present in 94.7% of patients. Conclusion High admission GCS and age less than 50 remain better outcome predictor in 30 days survival for patients undergoing surgery of traumatic ASDH. |
| Databáze: | OpenAIRE |
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