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DECRA
2011 Neurology Trauma
? ICUs
155 patients
Early decomp crani in severe diffuse TBI (bifrontotemporoparietal), EGOS
Clinical Question
Do patients with severe diffuse traumatic brain injury and intracranial hypertension that was refractory to first-tier therapies who undergo bifrontotemporoparietal decompressive craniectomy have improved outcomes?
Critical Appraisal
Key findings
Mort sim. Dec ICP,ICU LOS, more unfavourable o/c (GCS 3-8, ICP > 20 15min)
- Population
- Traumatic Brain Injury
- Population Details
- ICP over 20 for 15 minutes
- Intervention Arms
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Decompressive Craniectomy
Decompressive Craniectomy - Control Arms
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Standard Care
- Primary Outcome
- Extended Glasgow Outcome Score
- Secondary Outcomes
- Lower ICPs
- P Value
- 0.03
Outcome Results
Not recorded