학술논문
Comparative effectiveness of decompressive craniectomy versus craniotomy for traumatic acute subdural hematoma (CENTER-TBI): an observational cohort studyResearch in context
Document Type
article
Author
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)
Subject
Language
English
ISSN
2589-5370
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