Effectiveness and Safety of Pressure Dressings on Reducing Subdural Effusion After Decompressive Craniectomy

Decompressive craniectomy as a treatment is often used in the rescue treatment of critically ill patients in neurosurgery; however, there are many complications after this operation. Subdural effusion is a common complication after decompressive craniectomy. Once it occurs, it can cause further prob...

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Bibliographic Details
Published in:Neuropsychiatric disease and treatment 2021-01, Vol.17, p.3119-3125
Main Authors: Huang, Wanyong, Zhou, Bo, Li, Yingwei, Shao, Yuansheng, Peng, Bo, Jiang, Xianchun, Xiang, Tao
Format: Article
Language:English
Subjects:
Care and treatment
Cerebrospinal fluid
complication
Complications
decompressive craniectomy
Dressings
Dura mater
Effusion
Exudates and transudates
Fistula
Health aspects
Hemorrhage
Hospitalization
Hydrocephalus
Hypertension
Intracranial pressure
Length of stay
Methods
Nervous system
Neurosurgery
Original Research
Patient outcomes
Patients
Pressure
pressure dressing
Risk factors
Skull
subdural effusion
Surgery
Surgical dressings
Traumatic brain injury
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Summary:Decompressive craniectomy as a treatment is often used in the rescue treatment of critically ill patients in neurosurgery; however, there are many complications after this operation. Subdural effusion is a common complication after decompressive craniectomy. Once it occurs, it can cause further problems for the patient. Therefore, the purpose of this study was to explore the safety and effectiveness of pressure dressings for subdural effusion after decompressive craniectomy. Patients who underwent decompressive craniectomy in our hospital from January 2016 to January 2021 were included in this study, and all patients were followed up for 6 months or more. After the operation, the patients were divided into two groups according to whether they received a pressure dressing or a traditional dressing. Subdural effusion, cerebrospinal fluid leakage, hydrocephalus and other complications were compared between the two groups, and the differences in hospital duration, cost and prognosis between the two groups were analyzed. A total of 123 patients were included in this study. Among them, 62 patients chose pressure dressings, and 61 patients chose traditional dressings. The incidence of subdural effusion in the pressure dressing group was significantly lower than that in the traditional dressing group (P 0.05). In addition, the length of hospital stay and the total cost in the pressure dressing group were significantly lower (P
ISSN:1176-6328
1178-2021
1178-2021
DOI:10.2147/NDT.S332653