Long-term outcome and health status in decompressive craniectomized XXXX with intractable intracranial pressure after severe brain injury.

@entity1 @entity131 @entity1779
OBJECTIVE: Decompressive craniectomy (DC) in severe @entity131 ( @entity131 ) remains a controversial therapeutic strategy. The long-term functional recovery and health status in a sample of decompressive craniectomized @entity131 are reported. METHODS: @entity1 with @entity131 who underwent DC were retrospectively investigated. @entity1 with @entity1779 ( @entity1779 ) and DC were considered as control group. In all survival @entity1 admitted to a neuro-rehabilitation setting, the modified Rankin (mRS), Glasgow Outcome scale (GOS) and Barthel Scales (BS) were administered at admission, discharge, 1 year and follow-up. The quality-of-life was evaluated with the SF-36 questionnaire at follow-up (41.1  16.6 months). RESULTS: Seventy (33 F, 37 M, mean age=46.8, SD=18.8) @entity1 were enrolled: 46 (20 F, 26 M) subjects with @entity131 and 24 (13 F, 11 M) with @entity1779 . After surgery, 11 (23.9%) and 10 (41.6%) subjects in the @entity131 and @entity1779 group, respectively, died. The mean Barthel scores were 4.0 (SD=5.9), 60.9 (SD=37.5), 63.7 (SD=35.1) and 67.3 (SD=38.2) (p<0.001) and median GOS was 3, 4, 4 and 4 at admission, discharge, 1 year and follow-up, respectively, in @entity131 @entity1 . Seventeen (36.9%) @entity1 with @entity131 and four (16.6%) with @entity1779 made a full recovery. The SF-36 questionnaire showed significant abnormalities in all domains of health status in both groups. CONCLUSION: Craniectomized @entity1 with @entity131 achieved good long-term outcome, although they experienced significant difficulties in health status.
