Document Detail

Decompressive craniectomy in addition to hematoma evacuation improves mortality of patients with spontaneous basal ganglia hemorrhage.
MedLine Citation:
PMID:  20452786     Owner:  NLM     Status:  MEDLINE    
We conducted a retrospective study to assess the effect of decompressive craniectomy on outcome of patients with spontaneous basal ganglia hemorrhage (SBH). A review of a hospital database was performed to search for patients with a diagnosis of SBH who received hematoma evacuation with (N=38) or without (N=46) decompressive craniectomy in our institute from January 2005 to January 2008. Descriptive statistics revealed that patients in the decompressive craniectomy group were in poorer clinical condition before surgery. Unadjusted analyses found no significant difference between groups in either 30-day mortality or 6-month functional survival (32% v 43%, P=.26, and 55% v 45%, P=.28, respectively). However, after severity adjustment the multivariate logistic regression analysis showed that decompressive craniectomy group was associated with improved 30-day mortality (Exp (B) 0.11, 95% confidence interval 0.02-0.60, P=.01) and 6-month functional survival (Exp (B) 26.97, 95% confidence interval 2.20-317.62, P=.01). In conclusion, our study suggests decompressive craniectomy in addition to hematoma evacuation might improve mortality of deteriorating patients with SBH. Larger, randomized studies are needed to verify this result.
Li Ma; Wei-Guo Liu; Han-Song Sheng; Jing Fan; Wei-Wei Hu; Jin-Seng Chen
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Publication Detail:
Type:  Journal Article     Date:  2010-05-08
Journal Detail:
Title:  Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association     Volume:  19     ISSN:  1532-8511     ISO Abbreviation:  J Stroke Cerebrovasc Dis     Publication Date:    2010 Jul-Aug
Date Detail:
Created Date:  2010-07-08     Completed Date:  2010-10-08     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9111633     Medline TA:  J Stroke Cerebrovasc Dis     Country:  United States    
Other Details:
Languages:  eng     Pagination:  294-8     Citation Subset:  IM    
Copyright Information:
Copyright (c) 2010 National Stroke Association. Published by Elsevier Inc. All rights reserved.
Department of Neurosurgery, Second Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, China.
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MeSH Terms
Aged, 80 and over
Basal Ganglia Hemorrhage / mortality*,  surgery*
Databases, Factual
Decompressive Craniectomy / mortality*
Hematoma / mortality*,  surgery*
Logistic Models
Middle Aged
Retrospective Studies
Treatment Outcome

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