Decompressive Craniectomy As A Treatment In Patients With Cranio-Brain Trauma At The Central Hospital Of Maracay

Daniel Aguiar, Miguel Flores, Claudia León, German Pinto and Mildred Lupi

Rehabilitation and Sports Medicine, 2025, vol. 5, 26

Abstract: The general objective: To evaluate decompressive craniectomy (DC) as a treatment in patients with traumatic brain injury (TBI) at the Central Hospital of Maracay. January-July 2024. Materials and Methods: The study is descriptive, prospective and cross-sectional. Glasgow and Marshall coma scale, clinical characteristics and imaging findings were applied. Results: 15 patients aged 49±23.5 years, 93% male, were studied. The main cause of TBI was a motorcycle accident and another (53.3%). Before CD, 80% had moderate TBI, 66.66% had normal pupils, 46.67% entered II and 33,33% were placed in IV on the Marshall scale. Subdural hematoma and epidural hematoma predominated with 26.67% in each case. The midline deviation was 8.5±2.4 mm. The CD application time was 11±9.6 hours. After CD, 46.66% and 26.67% were classified as having moderate and mild TBI respectively. 40% had normal pupils, 20% died and 66.67% were not admitted to the Intensive Care Unit. Although the results were favorable after CD, the differences did not show statistical significance (p≥0.05) so it is recommended to expand the sampling. Conclusion: The results suggest that decompressive craniectomy is recommended as a treatment in patients with traumatic brain injury, with satisfactory results in ages 20-40 years and moderate and mild TBI on the Glasgow scale. However, in patients over 60 years of age and a Glasgow scale score of less than 9 points, the results may be unfavorable.

Date: 2025
References: Add references at CitEc
Citations:

There are no downloads for this item, see the EconPapers FAQ for hints about obtaining it.

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:dbk:rehabi:v:5:y:2025:i::p:26:id:26

DOI: 10.56294/ri202526

Access Statistics for this article

More articles in Rehabilitation and Sports Medicine from AG Editor (Argentina)
Bibliographic data for series maintained by Javier Gonzalez-Argote ().