Consensus statement from the International Consensus Meeting on the Role of Decompressive Craniectomy in the Management of Traumatic Brain Injury

Consensus statement

Peter J. Hutchinson, Angelos G. Kolias, Tamara Tajsic, Amos Adeleye, Abenezer Tirsit Aklilu, Tedy Apriawan, Abdul Hafid Bajamal, Ernest J. Barthélemy, B. Indira Devi, Dhananjaya Bhat, Diederik Bulters, Randall Chesnut, Giuseppe Citerio, D. Jamie Cooper, Marek Czosnyka, Idara Edem, Nasser M.F. El-Ghandour, Anthony Figaji, Kostas N. Fountas, Clare Gallagher & 31 others Gregory W.J. Hawryluk, Corrado Iaccarino, Mathew Joseph, Tariq Khan, Tsegazeab Laeke, Oleg Levchenko, Baiyun Liu, Weiming Liu, Andrew Maas, Geoffrey T. Manley, Paul Manson, Anna T. Mazzeo, David K. Menon, Daniel B. Michael, Susanne Muehlschlegel, David O. Okonkwo, Kee B. Park, Jeffrey V. Rosenfeld, Gail Rosseau, Andres M. Rubiano, Hamisi K. Shabani, Nino Stocchetti, Shelly D. Timmons, Ivan Timofeev, Chris Uff, Jamie S. Ullman, Alex Valadka, Vicknes Waran, Adam Wells, Mark H. Wilson, Franco Servadei

Research output: Contribution to journalReview ArticleOtherpeer-review

1 Citation (Scopus)

Abstract

Background: Two randomised trials assessing the effectiveness of decompressive craniectomy (DC) following traumatic brain injury (TBI) were published in recent years: DECRA in 2011 and RESCUEicp in 2016. As the results have generated debate amongst clinicians and researchers working in the field of TBI worldwide, it was felt necessary to provide general guidance on the use of DC following TBI and identify areas of ongoing uncertainty via a consensus-based approach. Methods: The International Consensus Meeting on the Role of Decompressive Craniectomy in the Management of Traumatic Brain Injury took place in Cambridge, UK, on the 28th and 29th September 2017. The meeting was jointly organised by the World Federation of Neurosurgical Societies (WFNS), AO/Global Neuro and the NIHR Global Health Research Group on Neurotrauma. Discussions and voting were organised around six pre-specified themes: (1) primary DC for mass lesions, (2) secondary DC for intracranial hypertension, (3) peri-operative care, (4) surgical technique, (5) cranial reconstruction and (6) DC in low- and middle-income countries. Results: The invited participants discussed existing published evidence and proposed consensus statements. Statements required an agreement threshold of more than 70% by blinded voting for approval. Conclusions: In this manuscript, we present the final consensus-based recommendations. We have also identified areas of uncertainty, where further research is required, including the role of primary DC, the role of hinge craniotomy and the optimal timing and material for skull reconstruction.

Original languageEnglish
Pages (from-to)1261-1274
Number of pages14
JournalActa Neurochirurgica
Volume161
Issue number7
DOIs
Publication statusPublished - 1 Jul 2019

Keywords

  • Cranioplasty
  • Decompression
  • Neurosurgery
  • Neurotrauma

Cite this

Hutchinson, Peter J. ; Kolias, Angelos G. ; Tajsic, Tamara ; Adeleye, Amos ; Aklilu, Abenezer Tirsit ; Apriawan, Tedy ; Bajamal, Abdul Hafid ; Barthélemy, Ernest J. ; Devi, B. Indira ; Bhat, Dhananjaya ; Bulters, Diederik ; Chesnut, Randall ; Citerio, Giuseppe ; Cooper, D. Jamie ; Czosnyka, Marek ; Edem, Idara ; El-Ghandour, Nasser M.F. ; Figaji, Anthony ; Fountas, Kostas N. ; Gallagher, Clare ; Hawryluk, Gregory W.J. ; Iaccarino, Corrado ; Joseph, Mathew ; Khan, Tariq ; Laeke, Tsegazeab ; Levchenko, Oleg ; Liu, Baiyun ; Liu, Weiming ; Maas, Andrew ; Manley, Geoffrey T. ; Manson, Paul ; Mazzeo, Anna T. ; Menon, David K. ; Michael, Daniel B. ; Muehlschlegel, Susanne ; Okonkwo, David O. ; Park, Kee B. ; Rosenfeld, Jeffrey V. ; Rosseau, Gail ; Rubiano, Andres M. ; Shabani, Hamisi K. ; Stocchetti, Nino ; Timmons, Shelly D. ; Timofeev, Ivan ; Uff, Chris ; Ullman, Jamie S. ; Valadka, Alex ; Waran, Vicknes ; Wells, Adam ; Wilson, Mark H. ; Servadei, Franco. / Consensus statement from the International Consensus Meeting on the Role of Decompressive Craniectomy in the Management of Traumatic Brain Injury : Consensus statement. In: Acta Neurochirurgica. 2019 ; Vol. 161, No. 7. pp. 1261-1274.
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title = "Consensus statement from the International Consensus Meeting on the Role of Decompressive Craniectomy in the Management of Traumatic Brain Injury: Consensus statement",
abstract = "Background: Two randomised trials assessing the effectiveness of decompressive craniectomy (DC) following traumatic brain injury (TBI) were published in recent years: DECRA in 2011 and RESCUEicp in 2016. As the results have generated debate amongst clinicians and researchers working in the field of TBI worldwide, it was felt necessary to provide general guidance on the use of DC following TBI and identify areas of ongoing uncertainty via a consensus-based approach. Methods: The International Consensus Meeting on the Role of Decompressive Craniectomy in the Management of Traumatic Brain Injury took place in Cambridge, UK, on the 28th and 29th September 2017. The meeting was jointly organised by the World Federation of Neurosurgical Societies (WFNS), AO/Global Neuro and the NIHR Global Health Research Group on Neurotrauma. Discussions and voting were organised around six pre-specified themes: (1) primary DC for mass lesions, (2) secondary DC for intracranial hypertension, (3) peri-operative care, (4) surgical technique, (5) cranial reconstruction and (6) DC in low- and middle-income countries. Results: The invited participants discussed existing published evidence and proposed consensus statements. Statements required an agreement threshold of more than 70{\%} by blinded voting for approval. Conclusions: In this manuscript, we present the final consensus-based recommendations. We have also identified areas of uncertainty, where further research is required, including the role of primary DC, the role of hinge craniotomy and the optimal timing and material for skull reconstruction.",
keywords = "Cranioplasty, Decompression, Neurosurgery, Neurotrauma",
author = "Hutchinson, {Peter J.} and Kolias, {Angelos G.} and Tamara Tajsic and Amos Adeleye and Aklilu, {Abenezer Tirsit} and Tedy Apriawan and Bajamal, {Abdul Hafid} and Barth{\'e}lemy, {Ernest J.} and Devi, {B. Indira} and Dhananjaya Bhat and Diederik Bulters and Randall Chesnut and Giuseppe Citerio and Cooper, {D. Jamie} and Marek Czosnyka and Idara Edem and El-Ghandour, {Nasser M.F.} and Anthony Figaji and Fountas, {Kostas N.} and Clare Gallagher and Hawryluk, {Gregory W.J.} and Corrado Iaccarino and Mathew Joseph and Tariq Khan and Tsegazeab Laeke and Oleg Levchenko and Baiyun Liu and Weiming Liu and Andrew Maas and Manley, {Geoffrey T.} and Paul Manson and Mazzeo, {Anna T.} and Menon, {David K.} and Michael, {Daniel B.} and Susanne Muehlschlegel and Okonkwo, {David O.} and Park, {Kee B.} and Rosenfeld, {Jeffrey V.} and Gail Rosseau and Rubiano, {Andres M.} and Shabani, {Hamisi K.} and Nino Stocchetti and Timmons, {Shelly D.} and Ivan Timofeev and Chris Uff and Ullman, {Jamie S.} and Alex Valadka and Vicknes Waran and Adam Wells and Wilson, {Mark H.} and Franco Servadei",
year = "2019",
month = "7",
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doi = "10.1007/s00701-019-03936-y",
language = "English",
volume = "161",
pages = "1261--1274",
journal = "Acta Neurochirurgica",
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Hutchinson, PJ, Kolias, AG, Tajsic, T, Adeleye, A, Aklilu, AT, Apriawan, T, Bajamal, AH, Barthélemy, EJ, Devi, BI, Bhat, D, Bulters, D, Chesnut, R, Citerio, G, Cooper, DJ, Czosnyka, M, Edem, I, El-Ghandour, NMF, Figaji, A, Fountas, KN, Gallagher, C, Hawryluk, GWJ, Iaccarino, C, Joseph, M, Khan, T, Laeke, T, Levchenko, O, Liu, B, Liu, W, Maas, A, Manley, GT, Manson, P, Mazzeo, AT, Menon, DK, Michael, DB, Muehlschlegel, S, Okonkwo, DO, Park, KB, Rosenfeld, JV, Rosseau, G, Rubiano, AM, Shabani, HK, Stocchetti, N, Timmons, SD, Timofeev, I, Uff, C, Ullman, JS, Valadka, A, Waran, V, Wells, A, Wilson, MH & Servadei, F 2019, 'Consensus statement from the International Consensus Meeting on the Role of Decompressive Craniectomy in the Management of Traumatic Brain Injury: Consensus statement', Acta Neurochirurgica, vol. 161, no. 7, pp. 1261-1274. https://doi.org/10.1007/s00701-019-03936-y

Consensus statement from the International Consensus Meeting on the Role of Decompressive Craniectomy in the Management of Traumatic Brain Injury : Consensus statement. / Hutchinson, Peter J.; Kolias, Angelos G.; Tajsic, Tamara; Adeleye, Amos; Aklilu, Abenezer Tirsit; Apriawan, Tedy; Bajamal, Abdul Hafid; Barthélemy, Ernest J.; Devi, B. Indira; Bhat, Dhananjaya; Bulters, Diederik; Chesnut, Randall; Citerio, Giuseppe; Cooper, D. Jamie; Czosnyka, Marek; Edem, Idara; El-Ghandour, Nasser M.F.; Figaji, Anthony; Fountas, Kostas N.; Gallagher, Clare; Hawryluk, Gregory W.J.; Iaccarino, Corrado; Joseph, Mathew; Khan, Tariq; Laeke, Tsegazeab; Levchenko, Oleg; Liu, Baiyun; Liu, Weiming; Maas, Andrew; Manley, Geoffrey T.; Manson, Paul; Mazzeo, Anna T.; Menon, David K.; Michael, Daniel B.; Muehlschlegel, Susanne; Okonkwo, David O.; Park, Kee B.; Rosenfeld, Jeffrey V.; Rosseau, Gail; Rubiano, Andres M.; Shabani, Hamisi K.; Stocchetti, Nino; Timmons, Shelly D.; Timofeev, Ivan; Uff, Chris; Ullman, Jamie S.; Valadka, Alex; Waran, Vicknes; Wells, Adam; Wilson, Mark H.; Servadei, Franco.

In: Acta Neurochirurgica, Vol. 161, No. 7, 01.07.2019, p. 1261-1274.

Research output: Contribution to journalReview ArticleOtherpeer-review

TY - JOUR

T1 - Consensus statement from the International Consensus Meeting on the Role of Decompressive Craniectomy in the Management of Traumatic Brain Injury

T2 - Consensus statement

AU - Hutchinson, Peter J.

AU - Kolias, Angelos G.

AU - Tajsic, Tamara

AU - Adeleye, Amos

AU - Aklilu, Abenezer Tirsit

AU - Apriawan, Tedy

AU - Bajamal, Abdul Hafid

AU - Barthélemy, Ernest J.

AU - Devi, B. Indira

AU - Bhat, Dhananjaya

AU - Bulters, Diederik

AU - Chesnut, Randall

AU - Citerio, Giuseppe

AU - Cooper, D. Jamie

AU - Czosnyka, Marek

AU - Edem, Idara

AU - El-Ghandour, Nasser M.F.

AU - Figaji, Anthony

AU - Fountas, Kostas N.

AU - Gallagher, Clare

AU - Hawryluk, Gregory W.J.

AU - Iaccarino, Corrado

AU - Joseph, Mathew

AU - Khan, Tariq

AU - Laeke, Tsegazeab

AU - Levchenko, Oleg

AU - Liu, Baiyun

AU - Liu, Weiming

AU - Maas, Andrew

AU - Manley, Geoffrey T.

AU - Manson, Paul

AU - Mazzeo, Anna T.

AU - Menon, David K.

AU - Michael, Daniel B.

AU - Muehlschlegel, Susanne

AU - Okonkwo, David O.

AU - Park, Kee B.

AU - Rosenfeld, Jeffrey V.

AU - Rosseau, Gail

AU - Rubiano, Andres M.

AU - Shabani, Hamisi K.

AU - Stocchetti, Nino

AU - Timmons, Shelly D.

AU - Timofeev, Ivan

AU - Uff, Chris

AU - Ullman, Jamie S.

AU - Valadka, Alex

AU - Waran, Vicknes

AU - Wells, Adam

AU - Wilson, Mark H.

AU - Servadei, Franco

PY - 2019/7/1

Y1 - 2019/7/1

N2 - Background: Two randomised trials assessing the effectiveness of decompressive craniectomy (DC) following traumatic brain injury (TBI) were published in recent years: DECRA in 2011 and RESCUEicp in 2016. As the results have generated debate amongst clinicians and researchers working in the field of TBI worldwide, it was felt necessary to provide general guidance on the use of DC following TBI and identify areas of ongoing uncertainty via a consensus-based approach. Methods: The International Consensus Meeting on the Role of Decompressive Craniectomy in the Management of Traumatic Brain Injury took place in Cambridge, UK, on the 28th and 29th September 2017. The meeting was jointly organised by the World Federation of Neurosurgical Societies (WFNS), AO/Global Neuro and the NIHR Global Health Research Group on Neurotrauma. Discussions and voting were organised around six pre-specified themes: (1) primary DC for mass lesions, (2) secondary DC for intracranial hypertension, (3) peri-operative care, (4) surgical technique, (5) cranial reconstruction and (6) DC in low- and middle-income countries. Results: The invited participants discussed existing published evidence and proposed consensus statements. Statements required an agreement threshold of more than 70% by blinded voting for approval. Conclusions: In this manuscript, we present the final consensus-based recommendations. We have also identified areas of uncertainty, where further research is required, including the role of primary DC, the role of hinge craniotomy and the optimal timing and material for skull reconstruction.

AB - Background: Two randomised trials assessing the effectiveness of decompressive craniectomy (DC) following traumatic brain injury (TBI) were published in recent years: DECRA in 2011 and RESCUEicp in 2016. As the results have generated debate amongst clinicians and researchers working in the field of TBI worldwide, it was felt necessary to provide general guidance on the use of DC following TBI and identify areas of ongoing uncertainty via a consensus-based approach. Methods: The International Consensus Meeting on the Role of Decompressive Craniectomy in the Management of Traumatic Brain Injury took place in Cambridge, UK, on the 28th and 29th September 2017. The meeting was jointly organised by the World Federation of Neurosurgical Societies (WFNS), AO/Global Neuro and the NIHR Global Health Research Group on Neurotrauma. Discussions and voting were organised around six pre-specified themes: (1) primary DC for mass lesions, (2) secondary DC for intracranial hypertension, (3) peri-operative care, (4) surgical technique, (5) cranial reconstruction and (6) DC in low- and middle-income countries. Results: The invited participants discussed existing published evidence and proposed consensus statements. Statements required an agreement threshold of more than 70% by blinded voting for approval. Conclusions: In this manuscript, we present the final consensus-based recommendations. We have also identified areas of uncertainty, where further research is required, including the role of primary DC, the role of hinge craniotomy and the optimal timing and material for skull reconstruction.

KW - Cranioplasty

KW - Decompression

KW - Neurosurgery

KW - Neurotrauma

UR - http://www.scopus.com/inward/record.url?scp=85067382108&partnerID=8YFLogxK

U2 - 10.1007/s00701-019-03936-y

DO - 10.1007/s00701-019-03936-y

M3 - Review Article

VL - 161

SP - 1261

EP - 1274

JO - Acta Neurochirurgica

JF - Acta Neurochirurgica

SN - 0001-6268

IS - 7

ER -