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.
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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