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

Wanyong Huang,&ast; Bo Zhou,&ast; Yingwei Li,&ast; Yuansheng Shao, Bo Peng, Xianchun Jiang, Tao Xiang Department of Neurosurgery, People’s Hospital of Guanghan City, Guanghan City, Sichuan Province, People’s Republic of China&ast;These authors contributed equally to this workCorrespo...

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Autores principales:	Huang W, Zhou B, Li Y, Shao Y, Peng B, Jiang X, Xiang T
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2021
Materias:	decompressive craniectomy complication pressure dressing subdural effusion Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/5eaf51bb62dc4f95aa1628da2952312f
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spelling	oai:doaj.org-article:5eaf51bb62dc4f95aa1628da2952312f2021-12-02T19:25:48ZEffectiveness and Safety of Pressure Dressings on Reducing Subdural Effusion After Decompressive Craniectomy1178-2021https://doaj.org/article/5eaf51bb62dc4f95aa1628da2952312f2021-10-01T00:00:00Zhttps://www.dovepress.com/effectiveness-and-safety-of-pressure-dressings-on-reducing-subdural-ef-peer-reviewed-fulltext-article-NDThttps://doaj.org/toc/1178-2021Wanyong Huang,&ast; Bo Zhou,&ast; Yingwei Li,&ast; Yuansheng Shao, Bo Peng, Xianchun Jiang, Tao Xiang Department of Neurosurgery, People’s Hospital of Guanghan City, Guanghan City, Sichuan Province, People’s Republic of China&ast;These authors contributed equally to this workCorrespondence: Wanyong HuangDepartment of Neurosurgery, People’s Hospital of Guanghan City, 75 Hankou Road, Luocheng Town, Guanghan City, Sichuan Province, People’s Republic of ChinaEmail huangwy459088699@163.comObjective: 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.Methods: 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.Results: 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). There was no difference between the two groups in cerebrospinal fluid leakage and hydrocephalus (P > 0.05). In addition, the length of hospital stay and the total cost in the pressure dressing group were significantly lower (P< 0.05).Conclusion: Pressure dressing can effectively reduce the occurrence of subdural effusion after decompressive craniectomy, and it does not increase the occurrence of other cerebrospinal fluid-related complications.Keywords: decompressive craniectomy, complication, pressure dressing, subdural effusionHuang WZhou BLi YShao YPeng BJiang XXiang TDove Medical Pressarticledecompressive craniectomycomplicationpressure dressingsubdural effusionNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol Volume 17, Pp 3119-3125 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	decompressive craniectomy complication pressure dressing subdural effusion Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
spellingShingle	decompressive craniectomy complication pressure dressing subdural effusion Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 Huang W Zhou B Li Y Shao Y Peng B Jiang X Xiang T Effectiveness and Safety of Pressure Dressings on Reducing Subdural Effusion After Decompressive Craniectomy
description	Wanyong Huang,&ast; Bo Zhou,&ast; Yingwei Li,&ast; Yuansheng Shao, Bo Peng, Xianchun Jiang, Tao Xiang Department of Neurosurgery, People’s Hospital of Guanghan City, Guanghan City, Sichuan Province, People’s Republic of China&ast;These authors contributed equally to this workCorrespondence: Wanyong HuangDepartment of Neurosurgery, People’s Hospital of Guanghan City, 75 Hankou Road, Luocheng Town, Guanghan City, Sichuan Province, People’s Republic of ChinaEmail huangwy459088699@163.comObjective: 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.Methods: 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.Results: 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). There was no difference between the two groups in cerebrospinal fluid leakage and hydrocephalus (P > 0.05). In addition, the length of hospital stay and the total cost in the pressure dressing group were significantly lower (P< 0.05).Conclusion: Pressure dressing can effectively reduce the occurrence of subdural effusion after decompressive craniectomy, and it does not increase the occurrence of other cerebrospinal fluid-related complications.Keywords: decompressive craniectomy, complication, pressure dressing, subdural effusion
format	article
author	Huang W Zhou B Li Y Shao Y Peng B Jiang X Xiang T
author_facet	Huang W Zhou B Li Y Shao Y Peng B Jiang X Xiang T
author_sort	Huang W
title	Effectiveness and Safety of Pressure Dressings on Reducing Subdural Effusion After Decompressive Craniectomy
title_short	Effectiveness and Safety of Pressure Dressings on Reducing Subdural Effusion After Decompressive Craniectomy
title_full	Effectiveness and Safety of Pressure Dressings on Reducing Subdural Effusion After Decompressive Craniectomy
title_fullStr	Effectiveness and Safety of Pressure Dressings on Reducing Subdural Effusion After Decompressive Craniectomy
title_full_unstemmed	Effectiveness and Safety of Pressure Dressings on Reducing Subdural Effusion After Decompressive Craniectomy
title_sort	effectiveness and safety of pressure dressings on reducing subdural effusion after decompressive craniectomy
publisher	Dove Medical Press
publishDate	2021
url	https://doaj.org/article/5eaf51bb62dc4f95aa1628da2952312f
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Effectiveness and Safety of Pressure Dressings on Reducing Subdural Effusion After Decompressive Craniectomy

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