Critical Care

, 16:P309 | Cite as

Retrospective observation of 6-month survival following decompressive craniectomy in a London major trauma and stroke centre

  • J Dawson
  • P Hopkins
  • J Ling
  • D Walsh
  • C Tolias
Poster presentation
  • 505 Downloads

Keywords

Public Health Emergency Medicine Hospital Discharge Tertiary Referral Retrospective Data 

Introduction

This study describes 5.5 years of retrospective data examining hospital and 6-month outcome of patients following decompressive craniectomy (DC). The effectiveness of DC remains uncertain with conflicting results in patients with TBI and stroke [1, 2].

Methods

Data were drawn (1 January 2006 to 30 June 2011) from three hospital databases following approval by the institutional board.

Results

There were 2,148 neurosurgical admissions with 71 undergoing DC. Forty-eight of 71 (67.6%) survived to hospital discharge and 21/33 in both TBI and stroke groups survived to 6 months. See Table 1.

Table 1

Year

Neurosurgical/total

Total DC

Hospital survival

6-month survival

TBI

MCA stroke

Other

2006

292/1,839

2

2

2

1

0

1

2007

298/1,652

2

2

2

0

2

0

2008

286/1,563

11

10

8 (1N/A)

7

4

0

2009

493/1,840

18

11

10

7

8

3

2010

505/1,835

21

16

15 (1N/A)

11

9

1

2011

274/918

17

7

5 (2N/A)

7

10

0

5.5-year data

2,148/9,647

71

48

42 (4N/A)

33

33

5

Conclusion

Survival following DC in this institution compares favourably with published data. Reduced survival in 2011 may be a case-mix effect related to increased tertiary referrals. We will now prospectively collect these data including quality-of-life measures.

References

  1. 1.
    Cooper DJ, et al: N Engl J Med. 2011, 364: 1493-1502. 10.1056/NEJMoa1102077.CrossRefPubMedGoogle Scholar
  2. 2.
    Hofmeijer J, et al: Lancet Neurol. 2009, 8: 326-333. 10.1016/S1474-4422(09)70047-X.CrossRefPubMedGoogle Scholar

Copyright information

© Dawson et al.; licensee BioMed Central Ltd. 2012

This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Authors and Affiliations

  • J Dawson
    • 1
  • P Hopkins
    • 1
  • J Ling
    • 1
  • D Walsh
    • 1
  • C Tolias
    • 1
  1. 1.King's Health PartnersLondonUK

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