Decompressive craniectomy versus craniotomy for acute subdural hematoma: A systematic review and meta-analysis with an adjusted subgroup analysis.

ABSTRACT:

Introduction

Acute subdural hematomas are major causes of morbidity which warrant immediate treatment. If surgical intervention is warranted, craniotomy (CO) and decompressive craniectomy (DC) are employed, largely based on a loosely defined criteria and the neurosurgeon's best judgment. The primacy of one approach over another is a matter of dispute.

Objective

We attempt to further clarify any advantages in the two techniques, and include a propensity score matched (PSM) subgroup analysis to eliminate bias.

Design

This meta-analysis was conducted following the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) guidelines.

Data sources and methods

A literature review was conducted on PubMed/Medline, Cochrane Central, and Google Scholar f

SUBMITTER: Ali SH 

PROVIDER: S-EPMC11533180 | biostudies-literature | 2024

REPOSITORIES: biostudies-literature