dc.contributor.author | Anke, Pablo | |
dc.contributor.author | Pedersen, Lars Kjelsberg | |
dc.contributor.author | Mathiesen, Ellisiv Bøgeberg | |
dc.contributor.author | Ingebrigtsen, Tor | |
dc.date.accessioned | 2023-01-12T09:19:55Z | |
dc.date.available | 2023-01-12T09:19:55Z | |
dc.date.issued | 2022-10-14 | |
dc.description.abstract | Objective: We analyzed data from the Norwegian Stroke Registry (NSR) to study access to and outcomes of decompressive
hemicraniectomy for brain infarction in a nationwide routine
clinical setting. We also discretionary assessed whether the
outcomes were comparable with those achieved in randomized controlled trials (RCTs), and whether the use was in
accordance with guidelines. Methods: The NSR is a nationwide (population 5.3 million) clinical quality registry. We
included all stroke-cases operated in 2017 through 2019, and
retrieved data on baseline characteristics, treatment and functional outcome after three months (dichotomized modified
Rankin Scale score; favorable (0-3) or unfavorable (4-6)).
Crude treatment rates and the expected proportion of
patients transferred from a local hospital to a stroke-center
for the operation were estimated, based on the total population’s distribution of residency. Results: The 68 cases were 17
(25%) women and 51 (75%) men with a median National
Institute of Health Stroke Scale (NIHSS) score on admission
of 14.0 (inter-quartile range (IQR) 11.0) and a median time
from onset to hemicraniectomy of 34.3 (IQR 40.9) hours. The
crude treatment rate varied between regions from 0.29 to 1.40
operations per 100,000 population per year, and the proportion transferred from a local hospital (50%) was lower than
expected (68%). A favorable outcome was achieved in 20/52
(38.5%) cases. Conclusions: The findings indicate gender- and
geographic-inequalities in access. Among operated cases,
outcomes were comparable with those reported from RCTs,
and the use in accordance with recommendations in the current guidelines from the American Stroke Association. | en_US |
dc.identifier.citation | Anke, Pedersen, Mathiesen, Ingebrigtsen. Decompressive hemicraniectomy for space-occupying brain infarction: Nationwide population-based registry study. Journal of Stroke & Cerebrovascular Diseases. 2022;31:1-4 | en_US |
dc.identifier.cristinID | FRIDAID 2101807 | |
dc.identifier.doi | 10.1016/j.jstrokecerebrovasdis.2022.106831 | |
dc.identifier.issn | 1052-3057 | |
dc.identifier.issn | 1532-8511 | |
dc.identifier.uri | https://hdl.handle.net/10037/28178 | |
dc.language.iso | eng | en_US |
dc.publisher | Elsevier | en_US |
dc.relation.journal | Journal of Stroke & Cerebrovascular Diseases | |
dc.rights.accessRights | openAccess | en_US |
dc.rights.holder | Copyright 2022 The Author(s) | en_US |
dc.rights.uri | https://creativecommons.org/licenses/by/4.0 | en_US |
dc.rights | Attribution 4.0 International (CC BY 4.0) | en_US |
dc.subject.hrcs | Nevrologisk: Kirurgi | |
dc.subject.hrcs | Neurological : Surgery | |
dc.subject | VDP::Medisinske fag: 700::Klinisk medisinske fag: 750::Nevrokirurgi: 786 | en_US |
dc.subject | VDP::Midical sciences: 700::Clinical medical sciences: 750::Neurosurgery: 786 | en_US |
dc.subject | VDP::Medisinske fag: 700::Klinisk medisinske fag: 750::Nevrologi: 752 | en_US |
dc.subject | VDP::Midical sciences: 700::Clinical medical sciences: 750::Neurology: 752 | en_US |
dc.subject | Dekompresjon, kirurgisk / Decompression, Surgical | en_US |
dc.subject | Hjerneslag / Cerebral stroke | en_US |
dc.subject | Kvalitetsregister / Quality register | en_US |
dc.title | Decompressive hemicraniectomy for space-occupying brain infarction: Nationwide population-based registry study | en_US |
dc.type.version | publishedVersion | en_US |
dc.type | Journal article | en_US |
dc.type | Tidsskriftartikkel | en_US |
dc.type | Peer reviewed | en_US |