Functional Short-Term Outcomes and Mortality in Children with Severe Traumatic Brain Injury: Comparing Decompressive Craniectomy and Medical Management.

Brain Injuries, Traumatic / etiology Child Cohort Studies Craniocerebral Trauma / etiology Decompressive Craniectomy / methods Humans Persistent Vegetative State / etiology Retrospective Studies Treatment Outcome
TraumaRegister DGU® children decompressive craniectomy mortality outcomes traumatic brain injury

Journal

Journal of neurotrauma
ISSN: 1557-9042
Titre abrégé: J Neurotrauma
Pays: United States
ID NLM: 8811626

Informations de publication

Date de publication:
07 2022
Historique:
pubmed: 9 12 2021
medline: 20 7 2022
entrez: 8 12 2021
Statut: ppublish

Résumé

The effect of decompressive craniectomy (DC) on functional outcomes and mortality in children after severe head trauma is strongly debated. The lack of high-quality evidence poses a serious challenge to neurosurgeons' and pediatric intensive care physicians' decision making in critically ill children after head trauma. This study was conducted to compare DC and medical management in severely head-injured children with respect to short-term outcomes and mortality. Data on patients <18 years of age treated in Germany, Austria, and Switzerland during a 10-year period were extracted from TraumaRegister DGU

Identifiants

DOI: 10.1089/neu.2021.0378 PMID: 34877889 PMC: PMC9248344
pubmed: 34877889
doi: 10.1089/neu.2021.0378
pmc: PMC9248344
doi:

Types de publication

Journal Article Multicenter Study Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

944-953

Auteurs

Nora Bruns (N)

Department of Pediatrics I, Hand and Reconstructive Surgery, University Hospital Essen, University of Duisburg-Essen, Essen, Germany.
TNBS, Center for Translational Neuro- and Behavioral Sciences, Hand and Reconstructive Surgery, University Hospital Essen, University of Duisburg-Essen, Essen, Germany.

Oliver Kamp (O)

Department of Trauma, Hand and Reconstructive Surgery, University Hospital Essen, University of Duisburg-Essen, Essen, Germany.

Kim Lange (K)

Department of Trauma, Hand and Reconstructive Surgery, University Hospital Essen, University of Duisburg-Essen, Essen, Germany.

Rolf Lefering (R)

Faculty of Health, Institute for Research in Operative Medicine (IFOM), University of Witten/Herdecke, Cologne, Germany.

Ursula Felderhoff-Müser (U)

Department of Pediatrics I, Hand and Reconstructive Surgery, University Hospital Essen, University of Duisburg-Essen, Essen, Germany.
TNBS, Center for Translational Neuro- and Behavioral Sciences, Hand and Reconstructive Surgery, University Hospital Essen, University of Duisburg-Essen, Essen, Germany.

Marcel Dudda (M)

Department of Trauma, Hand and Reconstructive Surgery, University Hospital Essen, University of Duisburg-Essen, Essen, Germany.

Christian Dohna-Schwake (C)

Department of Pediatrics I, Hand and Reconstructive Surgery, University Hospital Essen, University of Duisburg-Essen, Essen, Germany.

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Classifications MeSH

questionsmedicales.fr › Plaies et blessures › Traumatismes du système nerveux › Traumatismes cranioencéphaliques › Lésions encéphaliques › Lésions traumatiques de l'encéphale › Functional Short-Term Outcomes and Mortality...
questionsmedicales.fr › Personnes › Tranches d'âge › Enfant › Functional Short-Term Outcomes and Mortality...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Caractéristiques des études épidémiologiques › Études épidémiologiques › Études de cohortes › Functional Short-Term Outcomes and Mortality...
questionsmedicales.fr › Plaies et blessures › Traumatismes du système nerveux › Traumatismes cranioencéphaliques › Functional Short-Term Outcomes and Mortality...
questionsmedicales.fr › Procédures de chirurgie opératoire › Procédures de neurochirurgie › Craniotomie › Craniectomie décompressive › Functional Short-Term Outcomes and Mortality...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Functional Short-Term Outcomes and Mortality...
questionsmedicales.fr › États, signes et symptômes pathologiques › Signes et symptômes › Manifestations neurologiques › Perte de conscience › État végétatif persistant › Functional Short-Term Outcomes and Mortality...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Caractéristiques des études épidémiologiques › Études épidémiologiques › Études de cohortes › Études rétrospectives › Functional Short-Term Outcomes and Mortality...
questionsmedicales.fr › Qualité, accès, évaluation des soins de santé › Qualité des soins de santé › Mécanismes d'évaluation des soins de santé › Évaluation des résultats et des processus en soins de santé › Évaluation de résultat (soins) › Résultat thérapeutique › Functional Short-Term Outcomes and Mortality...