Quality of life after decompressive craniectomy

<strong>Background: </strong>Decompressive craniectomy (DC) is used to relieve refractory intracranial hypertension. It increases survival but associates high disability. This study aims to assess QoL in patients undergoing DC due to life-threatening intracranial hypertension. <strong>Methods: </strong>All patients over 18 years old who underwent a supratentorial DC at our department due to intracranial hypertension of any etiology, from January 2015 to December 2021, were retrospectively selected. Patients with incomplete follow-up (under one year from the event or those who died) or who declined to participate in the study were excluded. QoL was assessed with SF-36 and CAVIDACE scales. Correlation between clinical and therapeutic variables and SF-36 subscales was studied with Spearman’s correlation and the Mann-Whitney U tests.<strong>背景：</strong>去骨瓣减压术（Decompressive Craniectomy, DC）是缓解难治性颅内高压的常用术式，可提升患者生存率，但同时伴随较高的致残风险。本研究旨在评估因致命性颅内高压接受去骨瓣减压术患者的生活质量（Quality of Life, QoL）。<strong>方法：</strong>本研究回顾性纳入2015年1月至2021年12月期间，于我科因各类病因导致颅内高压而行幕上去骨瓣减压术的18周岁及以上患者。排除随访不全（距事件发生不足1年或已死亡）以及拒绝参与本研究的受试者。采用SF-36量表与CAVIDACE量表评估患者生活质量；通过斯皮尔曼相关性分析及曼-惠特尼U检验，探究临床与治疗相关变量与SF-36各维度得分的相关性。