Clinical Study

Study of the Long-Term Results of Decompressive Craniectomy after Severe Traumatic Brain Injury Based on a Series of 60 Consecutive Cases

Table 5

Review of the literature presenting the various series of decompressive craniectomies performed in the setting of severe traumatic brain injury.

Author, year AgeGCSRandGOS 4-5GOS 2-3GOS 1

Kjellberg and Prieto Jr., 1971 [17]733 months–84 yearsNRNoNRNR72.0%
Polin et al., 1997 [19] 3518.7 years5.62No37.0%40.0%23.0%
Guerra et al., 1999 [15] 57<50 yearsNRNo58.0%20.0%19.0%
De Luca et al., 2000 [13] 22NRNRNo41.0%41.0%18.0%
Taylor et al., 2001 [21] 13121 months5 ± 2Yes54.0%NRNR
Schneider et al., 2002 [20] 6236.6 years6No29.1%48.4%22.5%
Albanèse et al., 2003 [9]2732 ± 15 years5 ± 2No19%30%52%
Aarabi et al., 2006 [8] 5025.3 years7No40.0%32.0%28.0%
Chibbaro and Tacconi, 2007 [11]4847 18–66 years7No40.0%45.0%15.0%
Olivecrona et al., 2007 [18] 2139.1 years6.5No71.5%11.4%14.3%
Ho et al., 2008 [16] 1638 20–72 years5 3–7 No31%31.5%37.5%
Bao et al., 2010 [10] 37NRNRNo54.1%27.0%18.9%
Cooper et al., 2011 [12] 73<60 yearsNRYes30.0%51.0%19.0%
Ecker et al., 2011 [14] 3324 19–46 years5 3–14 No60.0%17.0%23.0%

Our series 2013 6033 2–64 years7.23No50.0%21.7%28.3%

: number of patients; GCS: mean initial Glasgow Coma Scale score; Rand: randomization; GOS: Glasgow Outcome Scale; ± : standard deviation; : range.