Incidence and Considerations of Decompressive Craniectomy in Traumatic Brain Injury: An Updated Analysis

Abstract

The article addresses the issue of Traumatic Brain Injury (TCE) and its incidence in different contexts. It is reported that TBI has an incidence rate of 579 per 100,000 person/year, with traffic accidents being the main cause, followed by falls. It is considered the main cause of disability in people from 15 to 44 years old, with a predominance in males in relation to sports practice, driving means of transport, and the use of neurostimulant substances or work causes. An updated bibliographic review of the descriptive nature of decompressive craniectomy in traumatic brain injury was conducted during the months of July and August 2022. Scientific articles in databases such as Medline, PubMed, Google Scholar, Web of Science, and Clinical Key were reviewed, complementing the information with high-impact journals such as Scielo, Scopus, reviews of randomized controlled clinical trials, systematic reviews, and approaches. meta-analysis, where keywords were investigated. It was found that Third World countries, especially in Latin America, have higher incidence rates due to poor road culture and education, along with a high range of injuries caused by traffic accidents and violence, and deficient care in health services.