dc.contributor.author
Hubertus, Vanessa
dc.contributor.author
Finger, Tobias
dc.contributor.author
Drust, Ricarda
dc.contributor.author
Al Hakim, Sara
dc.contributor.author
Schaumann, Andreas
dc.contributor.author
Schulz, Matthias
dc.contributor.author
Gratopp, Alexander
dc.contributor.author
Thomale, Ulrich-Wilhelm
dc.date.accessioned
2024-07-31T08:05:22Z
dc.date.available
2024-07-31T08:05:22Z
dc.identifier.uri
https://refubium.fu-berlin.de/handle/fub188/44347
dc.identifier.uri
http://dx.doi.org/10.17169/refubium-44059
dc.description.abstract
Purpose Traumatic brain injury (TBI) is one of the leading causes of death and disability in children. Medical therapy remains limited, and decompressive craniectomy (DC) is an established rescue therapy in case of elevated intracranial pressure (ICP). Much discussion deals with clinical outcome after severe TBI treated with DC, while data on the pediatric population is rare. We report our experience of treating severe TBI in two different treatment setups at the same academic institution. Methods Forty-eight patients (<= 16 years) were hospitalized with severe TBI (GCS <= 8 points) between 2008 and 2018 in a pediatric intensive care unit (ICU) at a specialized tertiary pediatric care center. Data on treatment, clinical status, and outcome was retrospectively analyzed. Outcome data included Glasgow Outcome Scale (GOS) at 3-, 12-, and 36-month follow-up. Data was compared to a historic cohort with 53 pediatric severe TBI patients treated at the same institution in a neurointensive care unit between 1996 and 2007. Ethical approval was granted (EA2/076/21). Results Between 2008 and 2018, 11 patients were treated with DC. Compared to the historic cohort, patients were younger and GCS was worse, while in-hospital mortality and clinical outcome remained similar. A trend towards more aggressive EVD placement and the internal paradigm change for treatment in a specialized pediatric ICU was observed. Conclusions In children with severe TBI treated over two decades, clinical outcome was comparable and mostly favorable in two different treatment setups. Consequent therapy is warranted to maintain the positive potential for favorable outcome in children with severe TBI.
en
dc.rights.uri
https://creativecommons.org/licenses/by/4.0/
dc.subject
Pediatric traumatic brain injury
en
dc.subject
Intracranial pressure
en
dc.subject
Decompressive craniectomy
en
dc.subject
Glasgow outcome score
en
dc.subject.ddc
600 Technik, Medizin, angewandte Wissenschaften::610 Medizin und Gesundheit::610 Medizin und Gesundheit
dc.title
Severe Traumatic Brain Injury in children—paradigm of decompressive craniectomy compared to a historic cohort
dc.type
Wissenschaftlicher Artikel
dcterms.bibliographicCitation.doi
10.1007/s00701-022-05171-4
dcterms.bibliographicCitation.journaltitle
Acta Neurochirurgica
dcterms.bibliographicCitation.number
5
dcterms.bibliographicCitation.originalpublishername
Springer Nature
dcterms.bibliographicCitation.pagestart
1421
dcterms.bibliographicCitation.pageend
1434
dcterms.bibliographicCitation.volume
164
refubium.affiliation
Charité - Universitätsmedizin Berlin
refubium.funding
Springer Nature DEAL
refubium.resourceType.isindependentpub
no
dcterms.accessRights.openaire
open access
dcterms.bibliographicCitation.pmid
35305153
dcterms.isPartOf.eissn
0942-0940