Significance of Intracranial Pressure Monitoring Postearly Decompressive Craniectomy in Traumatic Brain Injury Patients: An Institutional Study
Year: 2025
Type: article
Study design: Observational Study
Abstract: BACKGROUND: Intracranial pressure (ICP) monitoring after early decompression in postoperative period serves as a valuable tool in diagnosing postoperative intracranial hypertension/raised ICP which guides for more appropriate medical treatment to reduce ICP or even subsequent surgery which ultimately decides the outcome of the patients. MATERIALS AND METHODS: It is a prospective study from March 2023 to August 2023 in the Department of Neurosurgery, Rajendra Institute of Medical Sciences, Ranchi. This study includes 16 patients with severe traumatic brain injury with a Glasgow Coma Scale (GCS) score of <8 who underwent early decompressive craniectomy. Finally, 16 patients were included in this study and were divided into two groups. The following parameters were analyzed age, sex, initial GCS, pupillary response, blood pressure, pulse rate, and respiratory rate 2-week mortality. Two-week time frame was selected because in our institute, 85% of deaths occur in the 1 st week after injury. RESULTS: The statistical analysis was performed by SPSS 22.0 and differences were observed between the two groups. CONCLUSION: The present study suggests that ICP monitoring, in conjunction with postoperative treatment after early decompressive craniectomy, is associated with a significantly reduced risk of death.
Source: Annals of African Medicine
Authors: Anand Prakash, Saurav Kumar Besra, Md. Habibullah Ansari
Institution: Rajendra Institute of Medical Sciences
Language: English
Subfield: Neurology
Field: Medicine
Domain: Health Sciences
Open Access status: hybrid
OpenAlex ID: W4408184287