Abstract | BACKGROUND: METHODS: A literature search using major online databases and a manual search of references on the topic of craniotomy and craniectomy for evacuation of subdural hematoma until September 2016 was performed. The outcome variables were analyzed which included residual SDH, revision rate, and clinical outcome. RESULTS: Six comparison studies, with a total number of 2006 craniotomy and 451 craniectomy patients, fulfilled the inclusion criteria. Patients who underwent craniectomy scored significantly lower on the Glasgow Coma Scale at the time of initial presentation. Postoperatively, the rate of residual SDH was significantly lower in the craniectomy group than the craniotomy group (P = 0.004), with no difference in the revision rate. The odds of a poor outcome at follow-up was found to be lower in the craniotomy group (50.1% vs. 60.1%, respectively; P = 0.004). Similarly, mortality rates was lower in the craniotomy group than the craniectomy group (P = 0.004). CONCLUSIONS:
|
Authors | Kevin Phan, Justin M Moore, Christoph Griessenauer, Adam A Dmytriw, Daniel B Scherman, Sharaf Sheik-Ali, Nimer Adeeb, Christopher S Ogilvy, Ajith Thomas, Jeffrey V Rosenfeld |
Journal | World neurosurgery
(World Neurosurg)
Vol. 101
Pg. 677-685.e2
(May 2017)
ISSN: 1878-8769 [Electronic] United States |
PMID | 28315797
(Publication Type: Comparative Study, Journal Article, Meta-Analysis, Review, Systematic Review)
|
Copyright | Copyright © 2017 Elsevier Inc. All rights reserved. |
Topics |
- Craniotomy
(methods, standards)
- Decompressive Craniectomy
(methods, standards)
- Hematoma, Subdural, Acute
(diagnosis, mortality, surgery)
- Hospital Mortality
(trends)
- Humans
- Postoperative Complications
(diagnosis, mortality)
- Retrospective Studies
- Treatment Outcome
|