Decompressive Craniectomy in Children with Severe Traumatic Brain Injury: A Multicenter Retrospective Study and Literature Review
Severe traumatic brain injury (TBI) is the most common cause of disability in children. Refractory increased intracranial pressure can be a therapeutic challenge. Decompressive craniectomy can be proposed when medical management is insufficient, but its place is not clearly defined in guidelines. Th...
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| Veröffentlicht in: | World neurosurgery 2019-09, Vol.129, p.e56-e62 |
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| creator | Manfiotto, Marie Beccaria, Kevin Rolland, Alice Paternoster, Giovanna Plas, Benjamin Boetto, Sergio Vinchon, Mathieu Mottolese, Carmine Beuriat, Pierre-Aurélien Szathmari, Alexandru Di Rocco, Federico Scavarda, Didier Seigneuret, Eric Wrobleski, Isabelle Klein, Olivier Joud, Antony Gimbert, Edouard Jecko, Vincent Vignes, Jean Rodolphe Roujeau, Thomas Dupont, Audrey Zerah, Michel Lonjon, Michel |
| description | Severe traumatic brain injury (TBI) is the most common cause of disability in children. Refractory increased intracranial pressure can be a therapeutic challenge. Decompressive craniectomy can be proposed when medical management is insufficient, but its place is not clearly defined in guidelines. The aim of this study was to identify prognostic factors in children with TBI.
We performed a retrospective, multicenter study to analyze long-term outcomes of 150 children with severe TBI treated by decompressive craniectomy and to identify prognostic factors.
A satisfactory neurologic evolution (represented by a King's Outcome Scale for Childhood Head Injury score >3) was observed in 62% of children with a mean follow-up of 3.5 years. Mortality rate was 17%. Prognostic factors associated with outcome were age, initial Glasgow Coma Scale score, presence of mydriasis, neuromonitoring values (maximal intracranial pressure >30 mm Hg), and radiologic findings (Rotterdam score ≥4).
This study in a large population confirms that children with severe TBI treated by decompressive craniectomy can achieve a good neurologic outcome. Further studies are needed to clarify the use of this surgery in the management of children with severe TBI. |
| doi_str_mv | 10.1016/j.wneu.2019.04.215 |
| format | Article |
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We performed a retrospective, multicenter study to analyze long-term outcomes of 150 children with severe TBI treated by decompressive craniectomy and to identify prognostic factors.
A satisfactory neurologic evolution (represented by a King's Outcome Scale for Childhood Head Injury score >3) was observed in 62% of children with a mean follow-up of 3.5 years. Mortality rate was 17%. Prognostic factors associated with outcome were age, initial Glasgow Coma Scale score, presence of mydriasis, neuromonitoring values (maximal intracranial pressure >30 mm Hg), and radiologic findings (Rotterdam score ≥4).
This study in a large population confirms that children with severe TBI treated by decompressive craniectomy can achieve a good neurologic outcome. Further studies are needed to clarify the use of this surgery in the management of children with severe TBI.</description><identifier>ISSN: 1878-8750</identifier><identifier>EISSN: 1878-8769</identifier><identifier>DOI: 10.1016/j.wneu.2019.04.215</identifier><identifier>PMID: 31054345</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adolescent ; Brain injuries ; Brain Injuries, Traumatic ; Brain Injuries, Traumatic - surgery ; Child ; Child, Preschool ; Decompressive Craniectomy ; Decompressive Craniectomy - methods ; Female ; Humans ; Life Sciences ; Male ; Prognosis ; Retrospective Studies ; Traumatic ; Treatment Outcome</subject><ispartof>World neurosurgery, 2019-09, Vol.129, p.e56-e62</ispartof><rights>2019 Elsevier Inc.</rights><rights>Copyright © 2019 Elsevier Inc. All rights reserved.</rights><rights>Attribution - NonCommercial</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c434t-58f97889e568b79fce244d796b45a040145503547370b92700c64f6fe2b8fc863</citedby><cites>FETCH-LOGICAL-c434t-58f97889e568b79fce244d796b45a040145503547370b92700c64f6fe2b8fc863</cites><orcidid>0000-0002-4478-8747 ; 0000-0002-4811-490X ; 0000-0003-3450-0161</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S1878875019312112$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>230,314,776,780,881,3537,27901,27902,65534</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31054345$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://hal.science/hal-04227708$$DView record in HAL$$Hfree_for_read</backlink></links><search><creatorcontrib>Manfiotto, Marie</creatorcontrib><creatorcontrib>Beccaria, Kevin</creatorcontrib><creatorcontrib>Rolland, Alice</creatorcontrib><creatorcontrib>Paternoster, Giovanna</creatorcontrib><creatorcontrib>Plas, Benjamin</creatorcontrib><creatorcontrib>Boetto, Sergio</creatorcontrib><creatorcontrib>Vinchon, Mathieu</creatorcontrib><creatorcontrib>Mottolese, Carmine</creatorcontrib><creatorcontrib>Beuriat, Pierre-Aurélien</creatorcontrib><creatorcontrib>Szathmari, Alexandru</creatorcontrib><creatorcontrib>Di Rocco, Federico</creatorcontrib><creatorcontrib>Scavarda, Didier</creatorcontrib><creatorcontrib>Seigneuret, Eric</creatorcontrib><creatorcontrib>Wrobleski, Isabelle</creatorcontrib><creatorcontrib>Klein, Olivier</creatorcontrib><creatorcontrib>Joud, Antony</creatorcontrib><creatorcontrib>Gimbert, Edouard</creatorcontrib><creatorcontrib>Jecko, Vincent</creatorcontrib><creatorcontrib>Vignes, Jean Rodolphe</creatorcontrib><creatorcontrib>Roujeau, Thomas</creatorcontrib><creatorcontrib>Dupont, Audrey</creatorcontrib><creatorcontrib>Zerah, Michel</creatorcontrib><creatorcontrib>Lonjon, Michel</creatorcontrib><title>Decompressive Craniectomy in Children with Severe Traumatic Brain Injury: A Multicenter Retrospective Study and Literature Review</title><title>World neurosurgery</title><addtitle>World Neurosurg</addtitle><description>Severe traumatic brain injury (TBI) is the most common cause of disability in children. Refractory increased intracranial pressure can be a therapeutic challenge. Decompressive craniectomy can be proposed when medical management is insufficient, but its place is not clearly defined in guidelines. The aim of this study was to identify prognostic factors in children with TBI.
We performed a retrospective, multicenter study to analyze long-term outcomes of 150 children with severe TBI treated by decompressive craniectomy and to identify prognostic factors.
A satisfactory neurologic evolution (represented by a King's Outcome Scale for Childhood Head Injury score >3) was observed in 62% of children with a mean follow-up of 3.5 years. Mortality rate was 17%. Prognostic factors associated with outcome were age, initial Glasgow Coma Scale score, presence of mydriasis, neuromonitoring values (maximal intracranial pressure >30 mm Hg), and radiologic findings (Rotterdam score ≥4).
This study in a large population confirms that children with severe TBI treated by decompressive craniectomy can achieve a good neurologic outcome. Further studies are needed to clarify the use of this surgery in the management of children with severe TBI.</description><subject>Adolescent</subject><subject>Brain injuries</subject><subject>Brain Injuries, Traumatic</subject><subject>Brain Injuries, Traumatic - surgery</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Decompressive Craniectomy</subject><subject>Decompressive Craniectomy - methods</subject><subject>Female</subject><subject>Humans</subject><subject>Life Sciences</subject><subject>Male</subject><subject>Prognosis</subject><subject>Retrospective Studies</subject><subject>Traumatic</subject><subject>Treatment Outcome</subject><issn>1878-8750</issn><issn>1878-8769</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kU9v2yAYh9G0aa26foEdJo7bIS5gMHjaJc3-tFKmSW13Rhi_VohsnIFJlOO--bDS5jguoJeHB3h_CL2npKCEVjfb4uAhFYzQuiC8YFS8QpdUSbVQsqpfn9eCXKDrGLckj5JyJcu36KKkRPCSi0v09yvYcdgFiNHtAa-C8Q7sNA5H7DxebVzfBvD44KYNfoQ9BMBPwaTBTM7i22AydO-3KRw_4yX-mfpcBj9BwA8whTHusmv2Pk6pPWLjW7x2eddMKYseYO_g8A696Uwf4fp5vkK_v397Wt0t1r9-3K-W64XNL50WQnW1VKoGUalG1p0Fxnkr66rhwhBOKBeClILLUpKmZpIQW_Gu6oA1qrOqKq_Qp5N3Y3q9C24w4ahH4_Tdcq3nGuGMSUnUnmb244ndhfFPgjjpwUULfW88jClqxljNSllJkVF2Qm3-bgzQnd2U6DkpvdVzUnpOKt-hc1L50Idnf2oGaM9HXnLJwJcTALkjuUtBR-vAW2hdyC3V7ej-5_8H5BOkmw</recordid><startdate>201909</startdate><enddate>201909</enddate><creator>Manfiotto, Marie</creator><creator>Beccaria, Kevin</creator><creator>Rolland, Alice</creator><creator>Paternoster, Giovanna</creator><creator>Plas, Benjamin</creator><creator>Boetto, Sergio</creator><creator>Vinchon, Mathieu</creator><creator>Mottolese, Carmine</creator><creator>Beuriat, Pierre-Aurélien</creator><creator>Szathmari, Alexandru</creator><creator>Di Rocco, Federico</creator><creator>Scavarda, Didier</creator><creator>Seigneuret, Eric</creator><creator>Wrobleski, Isabelle</creator><creator>Klein, Olivier</creator><creator>Joud, Antony</creator><creator>Gimbert, Edouard</creator><creator>Jecko, Vincent</creator><creator>Vignes, Jean Rodolphe</creator><creator>Roujeau, Thomas</creator><creator>Dupont, Audrey</creator><creator>Zerah, Michel</creator><creator>Lonjon, Michel</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>1XC</scope><scope>VOOES</scope><orcidid>https://orcid.org/0000-0002-4478-8747</orcidid><orcidid>https://orcid.org/0000-0002-4811-490X</orcidid><orcidid>https://orcid.org/0000-0003-3450-0161</orcidid></search><sort><creationdate>201909</creationdate><title>Decompressive Craniectomy in Children with Severe Traumatic Brain Injury: A Multicenter Retrospective Study and Literature Review</title><author>Manfiotto, Marie ; Beccaria, Kevin ; Rolland, Alice ; Paternoster, Giovanna ; Plas, Benjamin ; Boetto, Sergio ; Vinchon, Mathieu ; Mottolese, Carmine ; Beuriat, Pierre-Aurélien ; Szathmari, Alexandru ; Di Rocco, Federico ; Scavarda, Didier ; Seigneuret, Eric ; Wrobleski, Isabelle ; Klein, Olivier ; Joud, Antony ; Gimbert, Edouard ; Jecko, Vincent ; Vignes, Jean Rodolphe ; Roujeau, Thomas ; Dupont, Audrey ; Zerah, Michel ; Lonjon, Michel</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c434t-58f97889e568b79fce244d796b45a040145503547370b92700c64f6fe2b8fc863</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Adolescent</topic><topic>Brain injuries</topic><topic>Brain Injuries, Traumatic</topic><topic>Brain Injuries, Traumatic - surgery</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Decompressive Craniectomy</topic><topic>Decompressive Craniectomy - methods</topic><topic>Female</topic><topic>Humans</topic><topic>Life Sciences</topic><topic>Male</topic><topic>Prognosis</topic><topic>Retrospective Studies</topic><topic>Traumatic</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Manfiotto, Marie</creatorcontrib><creatorcontrib>Beccaria, Kevin</creatorcontrib><creatorcontrib>Rolland, Alice</creatorcontrib><creatorcontrib>Paternoster, Giovanna</creatorcontrib><creatorcontrib>Plas, Benjamin</creatorcontrib><creatorcontrib>Boetto, Sergio</creatorcontrib><creatorcontrib>Vinchon, Mathieu</creatorcontrib><creatorcontrib>Mottolese, Carmine</creatorcontrib><creatorcontrib>Beuriat, Pierre-Aurélien</creatorcontrib><creatorcontrib>Szathmari, Alexandru</creatorcontrib><creatorcontrib>Di Rocco, Federico</creatorcontrib><creatorcontrib>Scavarda, Didier</creatorcontrib><creatorcontrib>Seigneuret, Eric</creatorcontrib><creatorcontrib>Wrobleski, Isabelle</creatorcontrib><creatorcontrib>Klein, Olivier</creatorcontrib><creatorcontrib>Joud, Antony</creatorcontrib><creatorcontrib>Gimbert, Edouard</creatorcontrib><creatorcontrib>Jecko, Vincent</creatorcontrib><creatorcontrib>Vignes, Jean Rodolphe</creatorcontrib><creatorcontrib>Roujeau, Thomas</creatorcontrib><creatorcontrib>Dupont, Audrey</creatorcontrib><creatorcontrib>Zerah, Michel</creatorcontrib><creatorcontrib>Lonjon, Michel</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Hyper Article en Ligne (HAL)</collection><collection>Hyper Article en Ligne (HAL) (Open Access)</collection><jtitle>World neurosurgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Manfiotto, Marie</au><au>Beccaria, Kevin</au><au>Rolland, Alice</au><au>Paternoster, Giovanna</au><au>Plas, Benjamin</au><au>Boetto, Sergio</au><au>Vinchon, Mathieu</au><au>Mottolese, Carmine</au><au>Beuriat, Pierre-Aurélien</au><au>Szathmari, Alexandru</au><au>Di Rocco, Federico</au><au>Scavarda, Didier</au><au>Seigneuret, Eric</au><au>Wrobleski, Isabelle</au><au>Klein, Olivier</au><au>Joud, Antony</au><au>Gimbert, Edouard</au><au>Jecko, Vincent</au><au>Vignes, Jean Rodolphe</au><au>Roujeau, Thomas</au><au>Dupont, Audrey</au><au>Zerah, Michel</au><au>Lonjon, Michel</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Decompressive Craniectomy in Children with Severe Traumatic Brain Injury: A Multicenter Retrospective Study and Literature Review</atitle><jtitle>World neurosurgery</jtitle><addtitle>World Neurosurg</addtitle><date>2019-09</date><risdate>2019</risdate><volume>129</volume><spage>e56</spage><epage>e62</epage><pages>e56-e62</pages><issn>1878-8750</issn><eissn>1878-8769</eissn><abstract>Severe traumatic brain injury (TBI) is the most common cause of disability in children. Refractory increased intracranial pressure can be a therapeutic challenge. Decompressive craniectomy can be proposed when medical management is insufficient, but its place is not clearly defined in guidelines. The aim of this study was to identify prognostic factors in children with TBI.
We performed a retrospective, multicenter study to analyze long-term outcomes of 150 children with severe TBI treated by decompressive craniectomy and to identify prognostic factors.
A satisfactory neurologic evolution (represented by a King's Outcome Scale for Childhood Head Injury score >3) was observed in 62% of children with a mean follow-up of 3.5 years. Mortality rate was 17%. Prognostic factors associated with outcome were age, initial Glasgow Coma Scale score, presence of mydriasis, neuromonitoring values (maximal intracranial pressure >30 mm Hg), and radiologic findings (Rotterdam score ≥4).
This study in a large population confirms that children with severe TBI treated by decompressive craniectomy can achieve a good neurologic outcome. Further studies are needed to clarify the use of this surgery in the management of children with severe TBI.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>31054345</pmid><doi>10.1016/j.wneu.2019.04.215</doi><orcidid>https://orcid.org/0000-0002-4478-8747</orcidid><orcidid>https://orcid.org/0000-0002-4811-490X</orcidid><orcidid>https://orcid.org/0000-0003-3450-0161</orcidid><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; Elsevier ScienceDirect Journals Complete |
| subjects | Adolescent Brain injuries Brain Injuries, Traumatic Brain Injuries, Traumatic - surgery Child Child, Preschool Decompressive Craniectomy Decompressive Craniectomy - methods Female Humans Life Sciences Male Prognosis Retrospective Studies Traumatic Treatment Outcome |
| title | Decompressive Craniectomy in Children with Severe Traumatic Brain Injury: A Multicenter Retrospective Study and Literature Review |
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