Decompressive craniectomy in diffuse injury: Interpretation and implications of the international decra randomized trial

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Abstract

The Decompressive Craniectomy in diffuse traumatic brain injury (DECRA) randomized trial unexpectedly found that decompressive craniectomy (DC) surgery effectively controlled ICP but increased the proportion of vegetative survivors, and decreased the proportion of independent functioning survivors. The results led to a reconsideration of the indications for DC surgery after severe TBI, and to an understanding that complications of DC surgery likely outweigh benefits for many diffuse injury patients.

Original languageEnglish
Title of host publicationDecompressive Craniectomy
PublisherNova Science Publishers
Chapter9
Pages217-226
Number of pages10
ISBN (Electronic)9781536131819
ISBN (Print)9781536131802
Publication statusPublished - 1 Jan 2018

Keywords

  • Decompressive craniectomy
  • DECRA
  • Head injury
  • Outcome

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