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OUTCOMES IN PATIENTS WITH TRAUMATIC BRAIN INJURY AND INCREASED INTRACRANIAL PRESSURE UNDERGOING DECOMPRESSIVE CRANIECTOMY
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Abstract
Objective: To evaluate the treatment outcomes for patients with traumatic brain injury and increased intracranial pressure undergoing decompressive craniectomy at Thong Nhat Hospital. Methods: A cross-sectional retrospective study was conducted on patients with traumatic brain injury indicated for decompressive craniectomy from January 2017 to January 2024 at Thong Nhat Hospital. Results: We surveyed and followed 344 patients who met the inclusion criteria, with the following outcomes: At the time of discharge/transfer, the proportion of patients with a favorable outcome (Glasgow Outcome Scale [GOS] 4 and 5) was 69.28%, and those with an unfavorable outcome (GOS 1, 2, and 3) was 30.72%. Of these, 230 patients (66.86%) had a Glasgow Coma Scale (GCS) score of 14 to 15, and 62 patients (18.02%) had a GCS score of 9 to 13. Complications that affected patient outcomes after decompressive craniectomy included recurrent hemorrhage, accounting for 50.58%, and several factors such as intraventricular hemorrhage, basal cistern compression were associated with the formation of new postoperative hematoma influencing the patients' outcome. Conclusion: Decompressive craniectomy (DC) is a time-tested method commonly applied in emergency situations to save the lives of patients after accidents.
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Keywords
Decompressive craniectomy (DC), traumatic brain injury (TBI), intraventricular hemorrhage (IVH), hematoma and brain contusion/ swelling (HBCS).
References
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