OBJECTIVE: To analyze the clinical characteristics, complications and factors associated with the prognosis of severe @entity131 among @entity1 who undergo a decompressive craniectomy. METHODS: Retrospective study of @entity1 seen in an intensive care unit with severe @entity131 in whom a decompressive craniectomy was performed between the years 2003 and 2012. @entity1 were followed until their discharge from the intensive care unit. Their clinical-tomographic characteristics, complications, and factors associated with prognosis (univariate and multivariate analysis) were analyzed. RESULTS: A total of 64 @entity1 were studied. Primary and lateral decompressive craniectomies were performed for the majority of @entity1 . A high incidence of complications was found (78% neurological and 52% nonneurological). A total of 42 @entity1 (66%) presented poor outcomes, and 22 (34%) had good neurological outcomes. Of the @entity1 who survived, 61% had good neurological outcomes. In the univariate analysis, the factors significantly associated with poor neurological outcome were postdecompressive craniectomy @entity428 , greater severity and worse neurological state at admission. In the multivariate analysis, only postcraniectomy @entity428 was significantly associated with a poor outcome. CONCLUSION: This study involved a very severe and difficult to manage group of @entity1 with high morbimortality. Intracranial @entity101 was a main factor of poor outcome in this population.

Decompressive craniectomy in severe XXXX : prognostic factors and complications.

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients'] @entity131 :: ('MESH:D001930', 'Disease') :: ['traumatic brain injury'] @entity101 :: ('MESH:D006973', 'Disease') :: ['hypertension'] @entity428 :: ('MESH:D019586', 'Disease') :: ['intracranial hypertension']
@entity131 :: (MESH:D001930,Disease) :: ['traumatic brain injury']
