Zheng, Feng, Xu, Hao, von Spreckelsen, Niklas ORCID: 0000-0002-9873-1711, Stavrinou, Pantelis ORCID: 0000-0001-8653-1395, Timmer, Marco, Goldbrunner, Roland, Cao, Fang, Ran, Qishan, Li, Gang, Fan, Ruiming, Zhang, Qiang, Chen, Wei, Yao, Shengtao and Krischek, Boris (2018). Early or late cranioplasty following decompressive craniotomy for traumatic brain injury: A systematic review and meta-analysis. J. Int. Med. Res., 46 (7). S. 2503 - 2513. LONDON: SAGE PUBLICATIONS LTD. ISSN 1473-2300

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Abstract

Objective To evaluate the effectiveness of early (<3 months) cranioplasty (CP) and late CP (>3 months) on post-operative complications in patients receiving decompressive craniotomy (DC) for traumatic brain injury (TBI). Methods The Cochrane Library, PubMed and EMBASE databases were systematically searched for studies published prior to May 21, 2017. A meta-analysis examined post-operative overall complication rates, infection rates, subdural fluid collection and operating times according to early and late CP. Results Of the initial 1675 references, five studies, all cohort, involving a total of 413 patients, were selected for the review. There was no difference between early and late CP in post-operative overall complication rate (RR=0.68, 95%CI [0.36, 1.29]) and the post-operative infection rate (RR=0.50, 95%CI [0.20, 1.24]) in patients receiving DC for TBI. However, there was a significant difference in post-operative subdural effusion (RR=0.24, 95%CI [0.07, 0.78]) and mean operative time (mean difference=-33.02 min, 95%CI [-48.19, -17.84]) both in favour of early CP. Conclusions No differences were found between early and late CP in post-operative overall complications and procedural related infections in patients receiving DC for TBI, but early CP reduced the complication of subdural effusion and the mean operating time. These findings need to be confirmed by large, randomised controlled trials.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Zheng, FengUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Xu, HaoUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
von Spreckelsen, NiklasUNSPECIFIEDorcid.org/0000-0002-9873-1711UNSPECIFIED
Stavrinou, PantelisUNSPECIFIEDorcid.org/0000-0001-8653-1395UNSPECIFIED
Timmer, MarcoUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Goldbrunner, RolandUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Cao, FangUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Ran, QishanUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Li, GangUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Fan, RuimingUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Zhang, QiangUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Chen, WeiUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Yao, ShengtaoUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Krischek, BorisUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-181493
DOI: 10.1177/0300060518755148
Journal or Publication Title: J. Int. Med. Res.
Volume: 46
Number: 7
Page Range: S. 2503 - 2513
Date: 2018
Publisher: SAGE PUBLICATIONS LTD
Place of Publication: LONDON
ISSN: 1473-2300
Language: English
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
SEVERE HEAD-INJURY; CRANIAL DEFECT; CRANIECTOMY; HEMICRANIECTOMY; MULTICENTER; EFFICACY; SURGERY; IMPACT; GRAFTMultiple languages
Medicine, Research & Experimental; Pharmacology & PharmacyMultiple languages
Refereed: Yes
URI: http://kups.ub.uni-koeln.de/id/eprint/18149

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