Investýgatýon Of Mortalýty And Addýtýonal Morbýdýty Factors In Stroke Patýents Who Had Undergone Decompressýve Surgery

INTRODUCTION: We aimed to investigate the factors that may determine the effects of decompressive craniectomy by analyzing the data of patients who had ischemic and hemorrhagic stroke after the decompressive surgical procedure performed in our stroke center. Thus, we aimed to create a consensus in decompressive surgery practices.
METHODS: Within the scope of this research, the files of all stroke patients who underwent decompressive craniectomy and followed between 2015 and 2020 have been analyzed retrospectively. The contributing factors of prognosis were investigated. A total of 27 patients were included in the study. The sociodemographic characteristics of these patients, NIH at admission, GCS and mRS after 3-6 months were recorded and compared statistically.
RESULTS: Twenty-seven patients were included in the study, 16 of whom (59.3%) had ischemic stroke and 11 (40.7%) had hemorrhagic stroke. The average age of the patients was be 56±13.2 years. The mean NIHSS score was 16±7.2. After decompressive surgery, 70% of patients deceased before discharge. The average craniectomy dimensions of all patients were calculated as 9.4±1.5 cm x 7.7±1.5 cm. It was observed that factors such as timing of decompressive surgery, Glasgow coma score, length of hospital stay, stroke hemisphere, glucose, and hemoglobin values did not affect the prognosis after surgery. Patients who underwent decompressive surgery due to hemorrhagic stroke achieved better outcomes after surgery.
DISCUSSION AND CONCLUSION: The selection of patients to undergo surgery and the timing of surgery should be based on each clinic's own experience.