Functional Outcome of Adult Traumatic Brain Injury Patients Treated by Decompressive Craniectomy in Ethiopian Trauma Center.

IF 1.9 4区医学 Q3 CLINICAL NEUROLOGY

World neurosurgery Pub Date : 2025-03-14 DOI:10.1016/j.wneu.2025.123899

Sisay A Mulisa, Biruk G Wakjira, Samuel E Alem, Eyerusalem B Banti

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引用次数: 0

Abstract

Objective: To describe the long-term functional outcome of traumatic brain injury (TBI) patients treated by decompressive craniectomy (DC).

Method: Data was collected on decompressive craniectomy performed on TBI patients admitted between May 1, 2018, and May 1, 2021, using a multi-centered, cross-sectional study design. The long-term outcomes of survivors were assessed using a structured extended Glasgow outcome scale (GOSE) questionnaire. Descriptive statistics, including frequency, mean, median, and range, were analyzed. Predictors of functional outcomes were determined using multivariate regression analyses.

Result: In this study, 74 patients were examined and their mean age at the time of DC was 33.9 years, with a male-to-female ratio of 11:1. Primary DC was performed in 93.2% of cases, and the in-hospital mortality rate was 24.3%, while the overall mortality rate was 36.5%. Overall, a favorable functional outcome (GOSE ≥4) was witnessed in 43 patients (58.1%). Among survivors, 91.5% had favorable outcomes. Age ≥40, GCS ≤5, chest infections, and noninfectious complications were independent predictors of an unfavorable functional outcome (GOSE<4). Patients with GCS ≤5 fared the worst with an unfavorable functional outcome rate of 85.7%.

Conclusions: In this study, our results showed that significant number of our patients had favorable functional outcome after DC for TBI comparable to results from high income countries. We found that age, admission GCS, postoperative chest infection, and noninfectious complications were all independent factors predicting unfavorable functional outcome. In particular, patients with GCS ≤ 5 had a higher rate of mortality and unfavorable outcome.

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来源期刊

World neurosurgery CLINICAL NEUROLOGY-SURGERY

CiteScore

3.90

自引率

15.00%

发文量

1765

审稿时长

47 days

期刊介绍： World Neurosurgery has an open access mirror journal World Neurosurgery: X, sharing the same aims and scope, editorial team, submission system and rigorous peer review. The journal''s mission is to: -To provide a first-class international forum and a 2-way conduit for dialogue that is relevant to neurosurgeons and providers who care for neurosurgery patients. The categories of the exchanged information include clinical and basic science, as well as global information that provide social, political, educational, economic, cultural or societal insights and knowledge that are of significance and relevance to worldwide neurosurgery patient care. -To act as a primary intellectual catalyst for the stimulation of creativity, the creation of new knowledge, and the enhancement of quality neurosurgical care worldwide. -To provide a forum for communication that enriches the lives of all neurosurgeons and their colleagues; and, in so doing, enriches the lives of their patients. Topics to be addressed in World Neurosurgery include: EDUCATION, ECONOMICS, RESEARCH, POLITICS, HISTORY, CULTURE, CLINICAL SCIENCE, LABORATORY SCIENCE, TECHNOLOGY, OPERATIVE TECHNIQUES, CLINICAL IMAGES, VIDEOS