S06 I63
Conditions
Interventions
Group 1: Children with acute severe brain injury, who receive decompressive craniectomy and later cranioplasty
Sponsors
European Society for Pediatric Neurosurgery (ESPN)
Eligibility
Sex/Gender
All
Age
No minimum to 16 Years
Inclusion criteria
Inclusion criteria: Any type of underlying cerebral insult; Informed consent obtained; Ability to provide follow-up of at least 24 months after cranioplasty
Exclusion criteria
Exclusion criteria: Cranioplasty for conditions other than DC (e.g. congenital skull defects)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary objective is the assessment of complication rate, functional outcome and quality of life in children after decompressive craniectomy and cranioplasty in a large cohort. This aim is achieved by means of a structured, systematic recording of patient variables as well as parameters of the disease, therapy and the course of the disease at predefined time points (30 days after decompression craniectomy, 30 days after cranioplasty and 12 and 24 months after cranioplasty). Most items are based on the National Institute of Neurological Disorders and Stroke (NINDS) Common Data Elements. The following objective scores are used: Pediatric Glasgow Coma Scale (GCS) and Pediatric Risk of Mortality Score (PRISM) as surrogate markers for injury severity, King’s Outcome Scale for Childhood Head Injury (KOSCHI) and KIDSCREEN-10 to measure health-related quality of life and functional outcome as well as the Oulo Resorption Score to measure the extent of autologous bone flap resorption after cranioplasty. | — |
Secondary
| Measure | Time frame |
|---|---|
| The secondary objective is the comparison of treatment strategies and the identification of predictors for optimal results of decompressive craniectomy and cranioplasty by means of a structured, systematic recording of patient variables as well as parameters of the disease, therapy and the course of the disease at predefined time points (30 days after decompressive craniectomy, 30 days after cranioplasty and 12 and 24 months after cranioplasty). | — |
Countries
France, Germany, Italy
Contacts
Public ContactThomas Beez
Klinik für Neurochirurgie, Medizinische Fakultät, Heinrich-Heine-Universität Düsseldorf
Outcome results
None listed