Functional improvements associated with cranioplasty after stroke and traumatic brain injury: a cohort study
Decompressive craniectomy is part of the acute management of several neurosurgical illnesses, and is commonly followed by cranioplasty. Data are still scarce on the functional and cognitive outcomes following cranioplasty. We aim to evaluate these outcomes in patients who underwent cranioplasty foll...
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| Veröffentlicht in: | Brain impairment 2023-12, Vol.24 (3), p.721-731 |
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| creator | Coelho, F. Noleto, G.S. Solla, D.J.F. Martins, P.N. Andrade, A.F. Teixeira, M.J. Paiva, W.S. Anghinah, R. |
| description | Decompressive craniectomy is part of the acute management of several neurosurgical illnesses, and is commonly followed by cranioplasty. Data are still scarce on the functional and cognitive outcomes following cranioplasty. We aim to evaluate these outcomes in patients who underwent cranioplasty following traumatic brain injury (TBI) or stroke.
In this prospective cohort, we assessed 1-month and 6-month neuropsychological and functional outcomes in TBI and stroke patients who underwent cranioplasty at a Brazilian tertiary center. The primary outcome was the change in the Digits Test at 1 and 6 months after cranioplasty. Repeated measures general linear models were employed to assess the patients' evolution and interactions with baseline characteristics. Effect size was estimated by the partial η
.
A total of 20 TBI and 14 stroke patients were included (mean age 42 ± 14 years; 52.9% male; average schooling 9.5 ± 3.8 years; 91.2% right-handed). We found significant improvements in the Digits Tests up to 6 months after cranioplasty (
= 0.004, partial η
= 0.183), as well as in attention, episodic memory, verbal fluency, working memory, inhibitory control, visuoconstructive and visuospatial abilities (partial η
0.106-0.305). We found no interaction between the cranioplasty effect and age, sex or schooling. Patients submitted to cranioplasty earlier ( |
| doi_str_mv | 10.1017/BrImp.2023.2 |
| format | Article |
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In this prospective cohort, we assessed 1-month and 6-month neuropsychological and functional outcomes in TBI and stroke patients who underwent cranioplasty at a Brazilian tertiary center. The primary outcome was the change in the Digits Test at 1 and 6 months after cranioplasty. Repeated measures general linear models were employed to assess the patients' evolution and interactions with baseline characteristics. Effect size was estimated by the partial η
.
A total of 20 TBI and 14 stroke patients were included (mean age 42 ± 14 years; 52.9% male; average schooling 9.5 ± 3.8 years; 91.2% right-handed). We found significant improvements in the Digits Tests up to 6 months after cranioplasty (
= 0.004, partial η
= 0.183), as well as in attention, episodic memory, verbal fluency, working memory, inhibitory control, visuoconstructive and visuospatial abilities (partial η
0.106-0.305). We found no interaction between the cranioplasty effect and age, sex or schooling. Patients submitted to cranioplasty earlier (<1 year) after injury had better outcomes.
Cognitive and functional outcomes improved after cranioplasty following decompressive craniectomy for stroke or TBI. This effect was consistent regardless of age, sex, or education level and persisted after 6 months. Some degree of spontaneous improvement might have contributed to the results.</description><identifier>ISSN: 1443-9646</identifier><identifier>EISSN: 1839-5252</identifier><identifier>DOI: 10.1017/BrImp.2023.2</identifier><identifier>PMID: 38167367</identifier><language>eng</language><publisher>Cambridge, UK: Cambridge University Press</publisher><subject>Cognition & reasoning ; Cohort analysis ; Hematoma ; Hemorrhage ; Hypertension ; Memory ; Neuropsychology ; Original Article ; Questionnaires ; Stroke ; Traumatic brain injury</subject><ispartof>Brain impairment, 2023-12, Vol.24 (3), p.721-731</ispartof><rights>The Author(s), 2023. Published by Cambridge University Press on behalf of Australasian Society for the Study of Brain Impairment</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c358t-26e83c42a604199c5f8f5b5f84d4394a8f6696349e555f312efaa99ae1ec5d173</citedby><orcidid>0000-0002-5760-6869 ; 0000-0002-1907-3774</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/2890627521/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$H</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2890627521?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>164,314,780,784,21388,21389,21390,21391,23256,27924,27925,33530,33531,33703,33704,33744,33745,34005,34006,34314,34315,43659,43787,43805,43953,44067,55628,64385,64387,64389,72469,74104,74283,74302,74473,74590</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38167367$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Coelho, F.</creatorcontrib><creatorcontrib>Noleto, G.S.</creatorcontrib><creatorcontrib>Solla, D.J.F.</creatorcontrib><creatorcontrib>Martins, P.N.</creatorcontrib><creatorcontrib>Andrade, A.F.</creatorcontrib><creatorcontrib>Teixeira, M.J.</creatorcontrib><creatorcontrib>Paiva, W.S.</creatorcontrib><creatorcontrib>Anghinah, R.</creatorcontrib><title>Functional improvements associated with cranioplasty after stroke and traumatic brain injury: a cohort study</title><title>Brain impairment</title><addtitle>Brain Impairment</addtitle><description>Decompressive craniectomy is part of the acute management of several neurosurgical illnesses, and is commonly followed by cranioplasty. Data are still scarce on the functional and cognitive outcomes following cranioplasty. We aim to evaluate these outcomes in patients who underwent cranioplasty following traumatic brain injury (TBI) or stroke.
In this prospective cohort, we assessed 1-month and 6-month neuropsychological and functional outcomes in TBI and stroke patients who underwent cranioplasty at a Brazilian tertiary center. The primary outcome was the change in the Digits Test at 1 and 6 months after cranioplasty. Repeated measures general linear models were employed to assess the patients' evolution and interactions with baseline characteristics. Effect size was estimated by the partial η
.
A total of 20 TBI and 14 stroke patients were included (mean age 42 ± 14 years; 52.9% male; average schooling 9.5 ± 3.8 years; 91.2% right-handed). We found significant improvements in the Digits Tests up to 6 months after cranioplasty (
= 0.004, partial η
= 0.183), as well as in attention, episodic memory, verbal fluency, working memory, inhibitory control, visuoconstructive and visuospatial abilities (partial η
0.106-0.305). We found no interaction between the cranioplasty effect and age, sex or schooling. Patients submitted to cranioplasty earlier (<1 year) after injury had better outcomes.
Cognitive and functional outcomes improved after cranioplasty following decompressive craniectomy for stroke or TBI. This effect was consistent regardless of age, sex, or education level and persisted after 6 months. Some degree of spontaneous improvement might have contributed to the results.</description><subject>Cognition & reasoning</subject><subject>Cohort analysis</subject><subject>Hematoma</subject><subject>Hemorrhage</subject><subject>Hypertension</subject><subject>Memory</subject><subject>Neuropsychology</subject><subject>Original Article</subject><subject>Questionnaires</subject><subject>Stroke</subject><subject>Traumatic brain injury</subject><issn>1443-9646</issn><issn>1839-5252</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNptkc1P3DAQxa0KVD7aW8_IEpcemsXfiXsDVAoSEpf2HM06k-Ilibe2A9r_vga2ICEuM3P46Y3ee4R84WzBGa9PzuLVuF4IJuRCfCD7vJG20kKLnXIrJStrlNkjBymtGJPKKvmR7MmGm1qaep8MF_Pksg8TDNSP6xjuccQpJwopBechY0cffL6lLsLkw3qAlDcU-oyRphzDHVKYOpojzCNk7-gygp-on1Zz3HynQF24DTEXdu42n8huD0PCz9t9SH5f_Ph1flld3_y8Oj-9rpzUTa6EwUY6JcAwxa11um96vSxTdUpaBU1vjDXFC2qte8kF9gDWAnJ0uuO1PCRfn3WLn78zptyOPjkcBpgwzKkVtiRnuRCsoMdv0FWYY0mjUI1lRtRa8EJ9e6ZcDClF7Nt19CPETctZ-9hC-9RC-9hCKwp-tBWdlyN2L_D_2Auw2OrBuIy--4Ovb99V_AcmTZOe</recordid><startdate>20231201</startdate><enddate>20231201</enddate><creator>Coelho, F.</creator><creator>Noleto, G.S.</creator><creator>Solla, D.J.F.</creator><creator>Martins, P.N.</creator><creator>Andrade, A.F.</creator><creator>Teixeira, M.J.</creator><creator>Paiva, W.S.</creator><creator>Anghinah, R.</creator><general>Cambridge University Press</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88G</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M2M</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-5760-6869</orcidid><orcidid>https://orcid.org/0000-0002-1907-3774</orcidid></search><sort><creationdate>20231201</creationdate><title>Functional improvements associated with cranioplasty after stroke and traumatic brain injury: a cohort study</title><author>Coelho, F. ; 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Data are still scarce on the functional and cognitive outcomes following cranioplasty. We aim to evaluate these outcomes in patients who underwent cranioplasty following traumatic brain injury (TBI) or stroke.
In this prospective cohort, we assessed 1-month and 6-month neuropsychological and functional outcomes in TBI and stroke patients who underwent cranioplasty at a Brazilian tertiary center. The primary outcome was the change in the Digits Test at 1 and 6 months after cranioplasty. Repeated measures general linear models were employed to assess the patients' evolution and interactions with baseline characteristics. Effect size was estimated by the partial η
.
A total of 20 TBI and 14 stroke patients were included (mean age 42 ± 14 years; 52.9% male; average schooling 9.5 ± 3.8 years; 91.2% right-handed). We found significant improvements in the Digits Tests up to 6 months after cranioplasty (
= 0.004, partial η
= 0.183), as well as in attention, episodic memory, verbal fluency, working memory, inhibitory control, visuoconstructive and visuospatial abilities (partial η
0.106-0.305). We found no interaction between the cranioplasty effect and age, sex or schooling. Patients submitted to cranioplasty earlier (<1 year) after injury had better outcomes.
Cognitive and functional outcomes improved after cranioplasty following decompressive craniectomy for stroke or TBI. This effect was consistent regardless of age, sex, or education level and persisted after 6 months. Some degree of spontaneous improvement might have contributed to the results.</abstract><cop>Cambridge, UK</cop><pub>Cambridge University Press</pub><pmid>38167367</pmid><doi>10.1017/BrImp.2023.2</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0002-5760-6869</orcidid><orcidid>https://orcid.org/0000-0002-1907-3774</orcidid></addata></record> |
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| subjects | Cognition & reasoning Cohort analysis Hematoma Hemorrhage Hypertension Memory Neuropsychology Original Article Questionnaires Stroke Traumatic brain injury |
| title | Functional improvements associated with cranioplasty after stroke and traumatic brain injury: a cohort study |
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