Evidence · Systematic review or meta-analysis
Decompressive craniectomy in paediatric traumatic brain injury: a systematic review of current evidence.
- Major trauma
- Medical
- Neurology
- Nursing
- Raised intracranial pressure
- Trauma and burns
- Traumatic brain injury
This paper is from 2019, more than five years ago. Newer evidence may have been published since.
Summary
A systematic review of 12 studies examining decompressive craniectomy in children with traumatic brain injury. It assesses whether surgical decompression controls raised intracranial pressure and improves mortality and 6-12 month functional outcomes compared with medical management. The included studies consistently reported successful ICP control after craniectomy, with mostly favourable long-term outcome scores, though the evidence base is small and heterogeneous. Relevant to PICU teams managing refractory intracranial hypertension after paediatric head injury.
Summary written for PICUlearn. Always read the original.
- Licence:
- Open (Creative Commons)
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