Table 5 Significant predictors for favorable and unfavorable outcome after decompressive craniectomy in patients with middle cerebral artery infarction
Number of patients | Favorable outcome | Unfavorable outcome | p value | |
|---|---|---|---|---|
N (%) | 50 | 28 (56%) | 22 (44%) | |
Age | 50 | 41.2 | 50.4 | 0.001* |
Gender | ||||
Male | 18 | 12 (66.7%) | 6 (33.33) | 0.2 |
Female | 32 | 16 (50%) | 16 (50%) | |
Clinical findings | ||||
GCS | 50 | 8 | 5 | 0.02* |
Isochoric pupils | 10 | 8 (80%) | 2 (20%) | 0.08 |
Risk factors | ||||
DM | 9 | 2 (22.2%) | 7 (77.8%) | 0.02* |
Cardiac | 6 | 0 | 6 | 0.02* |
Hypertension | 22 | 10 (45.5%) | 12 (54.5%) | 0.1 |
Previous treatment | 8 | 6 (75%) | 2 (25%) | 0.2 |
Radiological findings | ||||
Contralateral ventriculomegaly | 14 | 8 (57.3%) | 6 (42.7%) | 0.9 |
Midline shift (mean) | 50 | 8.5 | 9.3 | 0.4 |
Hemorrhagic infarction | 4 | 0 | 4 | 0.01* |
Left side | 36 | 24 (66.7%) | 12 (33.3%) | 0.01* |
Treatment | ||||
Day of surgery from the onset (median) | 50 | 2.5 | 3 | 0.6 |
Time lapse between deterioration and surgery time (h) | 50 | 7 | 11.6 | 0.01* |
Time of cranioplasty | 26 | 84 | 240 | 0.001* |