• Decompressive Craniectomy vs Craniotomy only for Intracranial Hemorrhage Evacuation: A Propensity Matched Study (December 2017)

    Faisal Jehan, MD Asad Azim, MD Peter Rhee, MD Muhammad Khan, MD Lynn Gries, MD Terence O'Keeffe, MD Narong Kulvatunyou, MD Andrew Tang, MD Bellal Joseph, MD
    CME 1 CME Credit(s)

    Learning Objectives:

    The aim of our study was to assess outcomes in TBI patients undergoing decompressive craniectomy (DC) compared to craniotomy only (CO) for intracranial hemorrhage evacuation after TBI. We hypothesized that decompressive craniectomy (DC) for the evacuation of intracranial hemorrhage is not associated with improved outcomes compared to craniotomy only.

    Impact Statement:

    Traumatic brain injury (TBI) is the most common cause of death after trauma and it is a contributing factor to a third of all injury-related deaths. It accounts for 275,000 hospitalizations and 52,000 deaths each year. Additionally, approximately 3.17 million people live with a TBI-related disability. The primary goal of surgical intervention after intracranial hemorrhage is evacuation of hematoma to resolve raised intracranial pressure due to mass effect. Both craniectomy and craniotomy can serve this purpose. Understanding outcomes in TBI patients undergoing decompressive craniectomy (DC) compared to craniotomy only (CO) for intracranial hemorrhage evacuation is important to select the right procedure in the right patient and improve outcomes.

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    This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education through the joint providership of the American College of Surgeons and the American Association for the Surgery of Trauma. The American College of Surgeons is accredited by the ACCME to provide continuing medical education (CME) for physicians.

    AMA PRA Category 1 Credits™

    The American College of Surgeons designates this journal-based activity for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

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