Evaluation of Survival of Patients Who Underwent Decompressive Craniectomy: Clinical Series
Objective: This study aimed to examine the parameters thought to reduce the mortality of patients with epidural-subdural hemorrhage, basal ganglia hemorrhage, edema with compression effect due to intracerebral ischemic infarction, and hemorrhage from infarcts and to find significant relationships ac...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Galenos Publishing House
2021-04-01
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| Series: | Cam & Sakura Medical Journal |
| Subjects: | |
| Online Access: | https://jag.journalagent.com/z4/download_fulltext.asp?pdir=csmedj&un=CSM-77486 |
| _version_ | 1797633658819969024 |
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| author | Erkan Kutlu Ekiz Ozan Barut Ozan Haşimoğlu Yusuf Kılıç |
| author_facet | Erkan Kutlu Ekiz Ozan Barut Ozan Haşimoğlu Yusuf Kılıç |
| author_sort | Erkan Kutlu Ekiz |
| collection | DOAJ |
| description | Objective: This study aimed to examine the parameters thought to reduce the mortality of patients with epidural-subdural hemorrhage, basal ganglia hemorrhage, edema with compression effect due to intracerebral ischemic infarction, and hemorrhage from infarcts and to find significant relationships accordingly.
Material and Methods: The demographic and clinical characteristics of patients, pre-operative Glasgow Coma scale (GCS), duration of the operation after the development of the first event, length of stay in intensive care units (ICUs), infection and antibiotic therapy rates developed during their hospitalization, and long-term follow-up were recorded. The survival of the patients were compared statistically.
Results: In 38 patients with GCS less than 10 points, pre-operative GCS, length of stay in ICUs, duration of mechanical ventilator support, infection, and need for antibiotic therapy were examined. All patients were divided into four groups; subdural-epidural hematoma, intracerebral hematoma, intracerebral ischemic infarction, and post-infarction hemorrhage groups. The relationship between their data and mortality were studied. The pre-operative GCS scores in the four groups were 6.16, 6.73, 7.13, and 6.28, respectively. The pre-operative GCS in these four dead groups were 5, 6.6, 7, and 6, respectively. There was no difference between the variables and mortality.
Conclusion: No correlation was found between all clinical data and survival rates. The benefits of an early surgery shown in previous studies were not associated with mortality in this study. Studies with larger case series are needed for more significant relationships. |
| first_indexed | 2024-03-11T11:57:00Z |
| format | Article |
| id | doaj.art-9f6b5c634eec419bb50004f41a42c492 |
| institution | Directory Open Access Journal |
| issn | 2791-8823 |
| language | English |
| last_indexed | 2024-03-11T11:57:00Z |
| publishDate | 2021-04-01 |
| publisher | Galenos Publishing House |
| record_format | Article |
| series | Cam & Sakura Medical Journal |
| spelling | doaj.art-9f6b5c634eec419bb50004f41a42c4922023-11-08T13:10:19ZengGalenos Publishing HouseCam & Sakura Medical Journal2791-88232021-04-0111242710.4274/csmedj.galenos.2021.2021-8-14CSM-77486Evaluation of Survival of Patients Who Underwent Decompressive Craniectomy: Clinical SeriesErkan Kutlu Ekiz0Ozan Barut1Ozan Haşimoğlu2Yusuf Kılıç3University of Health Sciences Turkey, Başakşehir Çam and Sakura City Hospital, Clinic of Neurosurgery, İstanbul, TurkeyUniversity of Health Sciences Turkey, Başakşehir Çam and Sakura City Hospital, Clinic of Neurosurgery, İstanbul, TurkeyUniversity of Health Sciences Turkey, Başakşehir Çam and Sakura City Hospital, Clinic of Neurosurgery, İstanbul, TurkeyUniversity of Health Sciences Turkey, Başakşehir Çam and Sakura City Hospital, Clinic of Neurosurgery, İstanbul, TurkeyObjective: This study aimed to examine the parameters thought to reduce the mortality of patients with epidural-subdural hemorrhage, basal ganglia hemorrhage, edema with compression effect due to intracerebral ischemic infarction, and hemorrhage from infarcts and to find significant relationships accordingly. Material and Methods: The demographic and clinical characteristics of patients, pre-operative Glasgow Coma scale (GCS), duration of the operation after the development of the first event, length of stay in intensive care units (ICUs), infection and antibiotic therapy rates developed during their hospitalization, and long-term follow-up were recorded. The survival of the patients were compared statistically. Results: In 38 patients with GCS less than 10 points, pre-operative GCS, length of stay in ICUs, duration of mechanical ventilator support, infection, and need for antibiotic therapy were examined. All patients were divided into four groups; subdural-epidural hematoma, intracerebral hematoma, intracerebral ischemic infarction, and post-infarction hemorrhage groups. The relationship between their data and mortality were studied. The pre-operative GCS scores in the four groups were 6.16, 6.73, 7.13, and 6.28, respectively. The pre-operative GCS in these four dead groups were 5, 6.6, 7, and 6, respectively. There was no difference between the variables and mortality. Conclusion: No correlation was found between all clinical data and survival rates. The benefits of an early surgery shown in previous studies were not associated with mortality in this study. Studies with larger case series are needed for more significant relationships.https://jag.journalagent.com/z4/download_fulltext.asp?pdir=csmedj&un=CSM-77486cerebral ischemic strokedecompressive craniectomyepidural hemorrhage intracerebral hemorrhagemortalitysubdural hemorrhage |
| spellingShingle | Erkan Kutlu Ekiz Ozan Barut Ozan Haşimoğlu Yusuf Kılıç Evaluation of Survival of Patients Who Underwent Decompressive Craniectomy: Clinical Series Cam & Sakura Medical Journal cerebral ischemic stroke decompressive craniectomy epidural hemorrhage intracerebral hemorrhage mortality subdural hemorrhage |
| title | Evaluation of Survival of Patients Who Underwent Decompressive Craniectomy: Clinical Series |
| title_full | Evaluation of Survival of Patients Who Underwent Decompressive Craniectomy: Clinical Series |
| title_fullStr | Evaluation of Survival of Patients Who Underwent Decompressive Craniectomy: Clinical Series |
| title_full_unstemmed | Evaluation of Survival of Patients Who Underwent Decompressive Craniectomy: Clinical Series |
| title_short | Evaluation of Survival of Patients Who Underwent Decompressive Craniectomy: Clinical Series |
| title_sort | evaluation of survival of patients who underwent decompressive craniectomy clinical series |
| topic | cerebral ischemic stroke decompressive craniectomy epidural hemorrhage intracerebral hemorrhage mortality subdural hemorrhage |
| url | https://jag.journalagent.com/z4/download_fulltext.asp?pdir=csmedj&un=CSM-77486 |
| work_keys_str_mv | AT erkankutluekiz evaluationofsurvivalofpatientswhounderwentdecompressivecraniectomyclinicalseries AT ozanbarut evaluationofsurvivalofpatientswhounderwentdecompressivecraniectomyclinicalseries AT ozanhasimoglu evaluationofsurvivalofpatientswhounderwentdecompressivecraniectomyclinicalseries AT yusufkılıc evaluationofsurvivalofpatientswhounderwentdecompressivecraniectomyclinicalseries |