Publications by authors named "Inge A M van Erp"
Article Synopsis
- Researchers wanted to see if it’s better to do brain surgery (called cranioplasty) right away or later after a different brain surgery (decompressive craniectomy) for people who got hurt on the head.
- They looked at data from over 5,000 patients and found that whether the cranioplasty was done early (within 90 days) or delayed (after 90 days), the people felt about the same 12 months later in terms of recovery and quality of life.
- However, those who had early cranioplasty were more likely to have a condition called hydrocephalus, which is when fluid builds up in the brain.
Introduction: Treatment-limiting decisions (TLDs) can be inevitable severe traumatic brain injury (s-TBI) patients, but data on their use remain scarce.
Research Question: To investigate the prevalence, timing and considerations of TLDs in s-TBI patients.
Material And Methods: s-TBI patients between 2008 and 2017 were analysed retrospecively.
Early surgery versus conservative treatment in patients with traumatic intracerebral hematoma: a CENTER-TBI study.
Acta Neurochir (Wien)
November 2023
Article Synopsis
- This study looked at whether doing surgery early is better than just treating patients with trauma-related brain bleeding (t-ICH) without surgery.
- They checked the results of 367 patients, where some had surgery and others didn't, to see how well they recovered after 6 months.
- The study found that early surgery might help people with certain types of injuries, but for milder injuries, not having surgery seemed to work better.
Article Synopsis
- A recent study called RESCUE-ASDH looked at two types of brain surgeries for treating a specific brain injury called acute subdural hematoma (ASDH).
- The research included data from many hospitals across Europe and Israel, tracking how often each surgery was used and the outcomes for patients over a few years.
- Results showed that there was a big difference among hospitals in how often they chose to use decompressive craniectomy (DC) compared to craniotomy, with some hospitals using DC for a lot of their patients, while others used it much less.
Traumatic brain injury (TBI) is a leading cause of mortality, sensorimotor morbidity, and neurocognitive disability. Neuroinflammation is one of the key drivers causing secondary brain injury after TBI. Therefore, attenuation of the inflammatory response is a potential therapeutic goal.
View Article and Find Full Text PDFIntroduction: Preperitoneal pelvic packing (PPP) is an important intervention for control of severe pelvic hemorrhage in blunt trauma patients. We hypothesized that PPP is associated with an increased incidence of deep vein thrombosis (DVT) and pulmonary embolism (PE).
Methods: A retrospective cohort analysis of blunt trauma patients with severe pelvic fractures (AIS ≥4) using the 2015-2017 American College of Surgeons-Trauma Quality Improvement Program database was performed.
Background: Traumatic brain injury (TBI) is a major cause of death and disability across all ages. After the primary impact, the pathophysiologic process of secondary brain injury consists of a neuroinflammation response that critically leads to irreversible brain damage in the first days after the trauma. A key catalyst in this inflammatory process is the complement system.
View Article and Find Full Text PDFArticle Synopsis
- Early hemorrhage control is crucial for patients with severe blunt pelvic trauma, and this study compares the effectiveness of two methods: pre-peritoneal packing (PPP) and Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA).
- A retrospective analysis of 420 trauma patients analyzed various outcomes, including mortality rates and time to procedures, using propensity score matching to ensure fair comparisons.
- The results indicate that PPP may lead to better survival rates compared to REBOA, as it had lower in-hospital mortality despite longer time to perform the procedure, suggesting PPP may be a more effective initial response for controlling hemorrhage in such trauma cases.