Surgical management of acute subdural haematomas: current practice patterns in the United Kingdom and the Republic of Ireland

UK Neurosurgical Research Network, A G Kolias, W J Scotton, A Belli, A T King, P M Brennan, D O Bulters, M S Eljamel, M H Wilson, M C Papadopoulos, A D Mendelow, D K Menon, P J Hutchinson

Research output: Contribution to journalArticlepeer-review

Abstract

Uncertainty remains as to the role of decompressive craniectomy (DC) for primary evacuation of acute subdural haematomas (ASDH). In 2011, a collaborative group was formed in the UK with the aim of answering the following question: "What is the clinical- and cost-effectiveness of decompressive craniectomy, in comparison with craniotomy for adult patients undergoing primary evacuation of an ASDH?" The proposed RESCUE-ASDH trial (Randomised Evaluation of Surgery with Craniectomy for patients Undergoing Evacuation of Acute Subdural Haematoma) is a multicentre, pragmatic, parallel group randomised trial of DC versus craniotomy for adult head-injured patients with an ASDH. In this study, we used an online questionnaire to assess the current practice patterns in the management of ASDH in the UK and the Republic of Ireland, and to gauge neurosurgical opinion regarding the proposed RESCUE-ASDH trial.
Original languageEnglish
Pages (from-to)330-3
Number of pages4
JournalBritish Journal of Neurosurgery
Volume27
Issue number3
DOIs
Publication statusPublished - Jun 2013

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