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All Journal Jurnal Hortikultura Indonesia BALI MEDICAL JOURNAL (BMJ) Medicina E-Jurnal Medika Udayana Sari Pediatri JBN (Jurnal Bedah Nasional) ISM (Intisari Sains Medis) : Jurnal Kedokteran Neurologico Spinale Medico Chirurgico Journal of Global Pharma Technology
I Nyoman Semadi
Department Of Surgery, Thoracic And Cardiovascular Division, Medical Faculty, Universitas Udayana, Sanglah General Hospital, Denpasar, Indonesia
Agriculture, Biological Sciences & Forestry Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience

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Journal : JBN (Jurnal Bedah Nasional)

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Comparison of Mortality and Glasgow Outcome Scale Extended (GOSE) between Craniotomy and Decompressive Craniectomy in Patients with Traumatic Acute Subdural Hematoma at Sanglah General Hospital, Bali Ni Luh Putu Julita Yanti; I Wayan Niryana; Sri Maliawan; I Nyoman Semadi; Tjokorda G. B. Mahadewa; I G. A. B. Krisna Wibawa
JBN (Jurnal Bedah Nasional) Vol 6 No 1 (2022): JBN (Jurnal Bedah Nasional)
Publisher : Program Studi Ilmu Bedah, Fakultas Kedokteran Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/JBN.2022.v06.i01.p03

Abstract

Background: Craniotomy and decompressive craniectomy and are surgical modalities for the evacuation of acute subdural hematoma (SDH). These two techniques show different outcomes in various existing studies. The superiority between either techniques remains controversial. Objective: To determine the outcome comparison of mortality and Glasgow Outcome Scale Extended (GOSE) craniotomy with decompressive craniectomy in patients with traumatic acute SDH. Methods: This is a historical cohort study. Samples of the study were collected from January 2018 to March 2020 at Sanglah General Hospital. All patients with acute traumatic SDH who underwent SDH evacuation with craniotomy and decompressive craniectomy were assessed for mortality status at discharge and GOSE 3 months after surgery. Independent T-test will be carried out if the numerical variable were all normally distributed, while Mann-Whitney U test will be performed if otherwise. A Chi-square test will be performed on all unpaired categorical variables. Statistical analysis was performed with SPSS 25 with 95% confidence intervals. Results: As many as 40 subjects with traumatic acute SDH who underwent craniotomy and 40 subjects with traumatic acute SDH who underwent decompressive craniectomy were included in this study. There was no significant difference in mortality (RR: 1; 95% CI 0.67-1.87; p=0.651) and GOSE score (p=0.718) in traumatic acute SDH who underwent craniotomy or decompressive craniectomy. Conclusion: There was no difference in mortality and GOSE outcomes between a craniotomy and decompressive craniectomy for management of traumatic acute SDH.
Co-Authors Abdul Hamid Brigitta Marcia Budihardja Christopher Ryalino Dea Emmanuel Desy Permatasari Edwind Rakatama Fahlevie Gede Wirya Kusuma Duarsa I Gde Raka Widiana I Gede Suwedagatha I Gusti Agung Bagus Krisna Wibawa I Gusti Ngurah Sanjaya Putra I Ketut Widiana I Made Suphartha Utama I W. Sudarsa I Wayan Niryana Ida Ayu Rina Puja Ida Bagus Putra Manuaba Ketut Putu Yasa Melissa Krisanty Ngakan Gede Dwija Hermawan Ni Luh Putu Julita Yanti Nyoman Putu Riasa Putu Ayu Saraswati Sri Maliawan Tjokorda Gde Bagus Mahadewa Yohanes Setiyo