Decompressive Craniectomy versus Craniotomy for Acute Subdural Hematoma

In an international trial involving 450 patients with acute subdural hematoma, craniotomy (bone flap replaced) and decompressive craniectomy (bone flap left out) yielded similar disability-related outcomes at 12 months.

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Bibliographische Detailangaben
Veröffentlicht in:	The New England journal of medicine 2023-06, Vol.388 (24), p.2219-2229
Hauptverfasser:	Hutchinson, Peter J., Adams, Hadie, Mohan, Midhun, Devi, Bhagavatula I., Uff, Christopher, Hasan, Shumaila, Mee, Harry, Wilson, Mark H., Gupta, Deepak K., Bulters, Diederik, Zolnourian, Ardalan, McMahon, Catherine J., Stovell, Matthew G., Al-Tamimi, Yahia Z., Tewari, Manoj K., Tripathi, Manjul, Thomson, Simon, Viaroli, Edoardo, Belli, Antonio, King, Andrew T., Helmy, Adel E., Timofeev, Ivan S., Pyne, Sarah, Shukla, Dhaval P., Bhat, Dhananjaya I., Maas, Andrew R., Servadei, Franco, Manley, Geoffrey T., Barton, Garry, Turner, Carole, Menon, David K., Gregson, Barbara, Kolias, Angelos G.
Format:	Artikel
Sprache:	eng
Schlagworte:	Blood Brain Brain research Clinical trials Consent Contusions Craniotomy - adverse effects Craniotomy - methods Decompressive Craniectomy - adverse effects Decompressive Craniectomy - methods Dura mater Emergency Medicine Emergency Medicine General Enrollments Ethics Glasgow Outcome Scale Head injuries Head Trauma Hematoma Hematoma, Subdural, Acute - surgery Humans Meninges Neurology Neurosurgery Neurosurgery General Patients Quality of Life Questionnaires Retrospective Studies Skull Skull - surgery Surgery Surgery General Surgical Flaps - surgery Trauma Traumatic brain injury Treatment Outcome Wounds
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Beschreibung
Zusammenfassung:	In an international trial involving 450 patients with acute subdural hematoma, craniotomy (bone flap replaced) and decompressive craniectomy (bone flap left out) yielded similar disability-related outcomes at 12 months.
ISSN:	0028-4793 1533-4406 1533-4406
DOI:	10.1056/NEJMoa2214172