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Comparative effectiveness of decompressive craniectomy versus craniotomy for traumatic acute subdural hematoma (CENTER-TBI): an observational cohort studyResearch in context

Authors :
Thomas A. van Essen
Inge A.M. van Erp
Hester F. Lingsma
Dana Pisică
John K. Yue
Ranjit D. Singh
Jeroen T.J.M. van Dijck
Victor Volovici
Alexander Younsi
Angelos Kolias
Lianne D. Peppel
Majanka Heijenbrok-Kal
Gerard M. Ribbers
David K. Menon
Peter J.A. Hutchinson
Geoffrey T. Manley
Bart Depreitere
Ewout W. Steyerberg
Andrew I.R. Maas
Godard C.W. de Ruiter
Wilco C. Peul
Cecilia Åkerlund
Krisztina Amrein
Nada Andelic
Lasse Andreassen
Audny Anke
Anna Antoni
Gérard Audibert
Philippe Azouvi
Maria Luisa Azzolini
Ronald Bartels
Pál Barzó
Romuald Beauvais
Ronny Beer
Bo-Michael Bellander
Antonio Belli
Habib Benali
Maurizio Berardino
Luigi Beretta
Morten Blaabjerg
Peter Bragge
Alexandra Brazinova
Vibeke Brinck
Joanne Brooker
Camilla Brorsson
Andras Buki
Monika Bullinger
Manuel Cabeleira
Alessio Caccioppola
Emiliana Calappi
Maria Rosa Calvi
Peter Cameron
Guillermo Carbayo Lozano
Marco Carbonara
Ana M. Castaño-León
Simona Cavallo
Giorgio Chevallard
Arturo Chieregato
Giuseppe Citerio
Hans Clusmann
Mark Steven Coburn
Jonathan Coles
Jamie D. Cooper
Marta Correia
Amra Čović
Nicola Curry
Endre Czeiter
Marek Czosnyka
Claire Dahyot-Fizelier
Paul Dark
Helen Dawes
Véronique De Keyser
Vincent Degos
Francesco Della Corte
Hugo den Boogert
Đula Đilvesi
Abhishek Dixit
Emma Donoghue
Jens Dreier
Guy-Loup Dulière
Ari Ercole
Patrick Esser
Erzsébet Ezer
Martin Fabricius
Valery L. Feigin
Kelly Foks
Shirin Frisvold
Alex Furmanov
Pablo Gagliardo
Damien Galanaud
Dashiell Gantner
Guoyi Gao
Pradeep George
Alexandre Ghuysen
Lelde Giga
Ben Glocker
Jagoš Golubović
Pedro A. Gomez
Johannes Gratz
Benjamin Gravesteijn
Francesca Grossi
Russell L. Gruen
Deepak Gupta
Juanita A. Haagsma
Iain Haitsma
Raimund Helbok
Eirik Helseth
Lindsay Horton
Jilske Huijben
Peter J. Hutchinson
Bram Jacobs
Stefan Jankowski
Mike Jarrett
Ji-yao Jiang
Faye Johnson
Kelly Jones
Mladen Karan
Angelos G. Kolias
Erwin Kompanje
Daniel Kondziella
Evgenios Kornaropoulos
Lars-Owe Koskinen
Noémi Kovács
Alfonso Lagares
Linda Lanyon
Steven Laureys
Fiona Lecky
Didier Ledoux
Rolf Lefering
Valerie Legrand
Aurelie Lejeune
Leon Levi
Roger Lightfoot
Hester Lingsma
Marc Maegele
Marek Majdan
Alex Manara
Geoffrey Manley
Hugues Maréchal
Costanza Martino
Julia Mattern
Catherine McMahon
Béla Melegh
David Menon
Tomas Menovsky
Ana Mikolic
Benoit Misset
Visakh Muraleedharan
Lynnette Murray
Nandesh Nair
Ancuta Negru
David Nelson
Virginia Newcombe
Daan Nieboer
József Nyirádi
Matej Oresic
Fabrizio Ortolano
Olubukola Otesile
Aarno Palotie
Paul M. Parizel
Jean-François Payen
Natascha Perera
Vincent Perlbarg
Paolo Persona
Wilco Peul
Anna Piippo-Karjalainen
Matti Pirinen
Dana Pisica
Horia Ples
Suzanne Polinder
Inigo Pomposo
Jussi P. Posti
Louis Puybasset
Andreea Rădoi
Arminas Ragauskas
Rahul Raj
Malinka Rambadagalla
Veronika Rehorčíková
Isabel Retel Helmrich
Jonathan Rhodes
Sylvia Richardson
Sophie Richter
Samuli Ripatti
Saulius Rocka
Cecilie Roe
Olav Roise
Jonathan Rosand
Jeffrey Rosenfeld
Christina Rosenlund
Guy Rosenthal
Rolf Rossaint
Sandra Rossi
Daniel Rueckert
Martin Rusnák
Juan Sahuquillo
Oliver Sakowitz
Renan Sanchez-Porras
Janos Sandor
Nadine Schäfer
Silke Schmidt
Herbert Schoechl
Guus Schoonman
Rico Frederik Schou
Elisabeth Schwendenwein
Charlie Sewalt
Toril Skandsen
Peter Smielewski
Abayomi Sorinola
Emmanuel Stamatakis
Simon Stanworth
Ana Kowark
Robert Stevens
William Stewart
Nino Stocchetti
Nina Sundström
Riikka Takala
Viktória Tamás
Tomas Tamosuitis
Mark Steven Taylor
Braden Te Ao
Olli Tenovuo
Alice Theadom
Matt Thomas
Dick Tibboel
Marjolijn Timmers
Christos Tolias
Tony Trapani
Cristina Maria Tudora
Andreas Unterberg
Peter Vajkoczy
Egils Valeinis
Shirley Vallance
Zoltán Vámos
Mathieu Van der Jagt
Joukje van der Naalt
Gregory Van der Steen
Wim Van Hecke
Caroline van Heugten
Dominique Van Praag
Ernest Van Veen
Roel van Wijk
Thijs Vande Vyvere
Alessia Vargiolu
Emmanuel Vega
Kimberley Velt
Jan Verheyden
Paul M. Vespa
Anne Vik
Rimantas Vilcinis
Nicole von Steinbüchel
Daphne Voormolen
Petar Vulekovic
Kevin K.W. Wang
Eveline Wiegers
Guy Williams
Lindsay Wilson
Stefan Winzeck
Stefan Wolf
Zhihui Yang
Peter Ylén
Frederick A. Zeiler
Agate Ziverte
Tommaso Zoerle
Source :
EClinicalMedicine, Vol 63, Iss , Pp 102161- (2023)
Publication Year :
2023
Publisher :
Elsevier, 2023.

Abstract

Summary: Background: Limited evidence existed on the comparative effectiveness of decompressive craniectomy (DC) versus craniotomy for evacuation of traumatic acute subdural hematoma (ASDH) until the recently published randomised clinical trial RESCUE-ASDH. In this study, that ran concurrently, we aimed to determine current practice patterns and compare outcomes of primary DC versus craniotomy. Methods: We conducted an analysis of centre treatment preference within the prospective, multicentre, observational Collaborative European NeuroTrauma Effectiveness Research in Traumatic Brain Injury (known as CENTER-TBI) and NeuroTraumatology Quality Registry (known as Net-QuRe) studies, which enrolled patients throughout Europe and Israel (2014–2020). We included patients with an ASDH who underwent acute neurosurgical evacuation. Patients with severe pre-existing neurological disorders were excluded. In an instrumental variable analysis, we compared outcomes between centres according to treatment preference, measured by the case-mix adjusted proportion DC per centre. The primary outcome was functional outcome rated by the 6-months Glasgow Outcome Scale Extended, estimated with ordinal regression as a common odds ratio (OR), adjusted for prespecified confounders. Variation in centre preference was quantified with the median odds ratio (MOR). CENTER-TBI is registered with ClinicalTrials.gov, number NCT02210221, and the Resource Identification Portal (Research Resource Identifier SCR_015582). Findings: Between December 19, 2014 and December 17, 2017, 4559 patients with traumatic brain injury were enrolled in CENTER-TBI of whom 336 (7%) underwent acute surgery for ASDH evacuation; 91 (27%) underwent DC and 245 (63%) craniotomy. The proportion primary DC within total acute surgery cases ranged from 6 to 67% with an interquartile range (IQR) of 12–26% among 46 centres; the odds of receiving a DC for prognostically similar patients in one centre versus another randomly selected centre were trebled (adjusted median odds ratio 2.7, p

Details

Language :
English
ISSN :
25895370
Volume :
63
Issue :
102161-
Database :
Directory of Open Access Journals
Journal :
EClinicalMedicine
Publication Type :
Academic Journal
Accession number :
edsdoj.50d474883b14a94a383377ae2149ceb
Document Type :
article
Full Text :
https://doi.org/10.1016/j.eclinm.2023.102161