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31. Decompressive Craniectomy for Severe Diffuse Traumatic Brain Injury. Study of 25 Cases
Naeem ul Haq1, Akram Ullah2, Mian Iftikhar ul Haq3 and Warda Naeem Khan4
ABSTRACT
Objective: The purpose of this research was to investigate the effects of decompressive craniectomy (DC) on a group of 25 patients with severe diffuse traumatic brain injury (TBI).
Study Design: cross-sectional study
Place and Duration of Study: This study was conducted at the Mardan Medical Complex from January 15, 2018, and January 15, 2022.
Materials and Methods: Twenty-five patients, 18 years of age or older, had DC for severe diffuse TBI. All postoperative patients had their progress evaluated using the Glasgow Coma Scale. We obtained and looked at clinical assessment data from the time to, during, and after the operation. The statistical significance of outcome differences was determined using the Wilcoxon sign-ranks test.
Results: According to the study's findings, approximately 70% of the patients who had suffered a severe diffuse TBI improved utterly (48%) or partially (22%) following DC. Patients who made a full recovery saw a mean recovery time of 13 days, whereas those who only made a partial improvement experienced a mean recovery time of 24 days. DC-related mortality was 28% at the time of the research.
Conclusion: This research showed that DC is effective in managing severe diffuse TBI, and they support the notion that DC may be effectively used in clinical settings to enhance prognosis and lower mortality.
Key Words: Decompressive craniectomy, Traumatic brain injury, Clinical improvement, Mortality rate, Mardan Medical Complex.